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

Thomas Blum

Individual provider Physical Therapist · NPI 1144038381

Thomas Blum is a Physical Therapist in Private Practice in Fond Du Lac, Wisconsin. Qualified in 2024, 2 years ago. Practices with Fox Rehabilitation Services Wi LLC, a 143-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

N8679 Lakeshore Dr
Fond Du Lac, WI 54937-1727
Phone: (630) 504-9605
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence CP049520T (OR)

Record details

NPI number1144038381
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 19, 2024
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing addressN8679 Lakeshore Dr, Fond Du Lac, WI 54937-1727

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fox Rehabilitation Services Wi Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fond Du Lac