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

Malcolm R Driessen, DPT

Individual provider Physical Therapist · NPI 1316480908

Malcolm R Driessen, DPT is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2022, 4 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Arizona and Wisconsin.

Years since qualifying
4
Licensed in
AZ, WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1970 S Ridge Rd
Green Bay, WI 54304-4125
Phone: (920) 430-4888
Fax: (920) 430-4889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 9097 E Desert Cove Ave Ste 110, Scottsdale, AZ 85260-6276 — (480) 860-4298
  • 1800 Lawrence Dr, De Pere, WI 54115-9108 — (920) 983-3220
  • 820 Arbutus Ave, Oconto, WI 54153-2004 — (920) 835-1100
  • 555 Quality Ct, Wrightstown, WI 54180-9006 — (920) 532-6320

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16180-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence 32395 (AZ)

Record details

NPI number1316480908
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 30, 2016
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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