Physical Achievement Center LLC

Physical Therapist in Oshkosh, WI. Organization (NPI-2).

NPI number1083136758

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1083136758
Entity type: Organization (NPI-2)
Legal business name: Physical Achievement Center LLC
Organization subpart: No
Enumeration date: Jul 13, 2017
Last updated: Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRI
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	4017-024	–	Yes

Practice location

3475 Omro Rd Ste 300
Oshkosh, WI 54904

Phone 920-230-2747 · Fax 920-385-7074

Mailing address

3475 Omro Rd Ste 300
Oshkosh, WI 54904-7126

Phone 920-230-2747 · Fax 920-385-7074

Other practice locations

3111 Sawyer Creek Dr
Oshkosh, WI 54904-6362

Phone 920-379-9692 · Fax 920-385-7074

Authorized official

Eric Leo Koehler
Owner
9203799692

Is something wrong?

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Other Physical Therapist providers in Oshkosh, WI

All 97 Physical Therapist providers in Oshkosh · All 1,890 providers in Oshkosh

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