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

Mr. Michael J Gilboy, PT

Individual provider Physical Therapist · NPI 1083139398

Mr. Michael J Gilboy, PT is a Physical Therapist in Private Practice in Lake Hallie, Wisconsin. Qualified in 2011, 15 years ago. Practices with DPT Holdings LLC, a 167-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2751 Commercial Blvd Ste 5
Lake Hallie, WI 54729-5080
Phone: (800) 974-4378
Fax: (630) 515-1536
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11798-24 (WI)

Record details

NPI number1083139398
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESApril 5, 2026
Certification dateApril 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Dpt Holdings Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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