Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lara A Bleck, PT

Individual provider Physical Therapist · NPI 1114002623

Lara A Bleck, PT is registered under Physical Therapist in Private Practice in Appleton, Wisconsin. Qualified in 1993, 33 years ago. Practices with Advanced Physical Therapy and Sports Medicine SC, a 61-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
33
Licensed in
WI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1640 N Casaloma Dr
Appleton, WI 54913-8245
Phone: (920) 903-8545
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6128024 (WI)

Record details

NPI number1114002623
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Advanced Physical Therapy And Sports Medicine Sc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients16
Services billed 638 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Advanced Physical Therapy and Sports Medicine SC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 61 clinicians in the practice; 12 are shown here.

Other providers in Appleton