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

Shelly Reznichek, PT

Individual provider Physical Therapist · NPI 1407113822

Shelly Reznichek, PT is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2009, 17 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
17
Licensed in
WI
In the registry since
2012
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

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11292 (WI)

Record details

NPI number1407113822
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESApril 23, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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