Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kent Carlson, PT, MPT

Individual provider Physical Therapist · NPI 1477719151

Kent Carlson, PT, MPT is a Physical Therapist in Private Practice in Pewaukee, Wisconsin. Qualified in 2001, 25 years ago. Practices with Keystone Physical Therapy LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
25
Licensed in
WI
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

2835 N Grandview Blvd Ste 100
Pewaukee, WI 53072-5546
Phone: (262) 574-5185
Fax: (262) 574-5193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10398-024 (WI)

Record details

NPI number1477719151
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , MPT
Sole proprietorNo
NPI enumeratedAugust 1, 2008
Last updated in NPPESMay 9, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Keystone Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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