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

Mark Probasco, DPT

Individual provider Physical Therapist · NPI 1356709190

Mark Probasco, DPT is a Physical Therapist in Private Practice in Fond Du Lac, Wisconsin. Qualified in 2020, 6 years ago. Practices with Athletic and Therapeutic Institute of Milwaukee, LLC, a 48-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2016
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

727 W Johnson St
Fond Du Lac, WI 54935-2015
Phone: (920) 581-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 130 Marvin Rd Se Ste 203, Lacey, WA 98503-6101 — (360) 456-3300
  • 50 Sherry Ave, Park Falls, WI 54552-1467 — (715) 762-3212

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15209 (WI)

Record details

NPI number1356709190
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 8, 2016
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Athletic And Therapeutic Institute Of Milwaukee, Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fond Du Lac