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

Mr. Nathanael P Sorum, PT

Individual provider Physical Therapist · NPI 1871881094

Mr. Nathanael P Sorum, PT is a Physical Therapist in Private Practice in Waukesha, Wisconsin. Qualified in 2011, 15 years ago. Practices with Pain Management and Treatment Center, SC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2011
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

20700 Watertown Rd Ste 100
Waukesha, WI 53186-1800
Phone: (414) 540-8821
Fax: (414) 892-5745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1134 W North Ave, Milwaukee, WI 53205-1333 — (414) 260-8500

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11704-24 (WI)

Record details

NPI number1871881094
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 21, 2011
Last updated in NPPESMay 19, 2022
Certification dateMay 13, 2022

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 Pain Management And Treatment Center, S.C. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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