Susan Ann Dorlack, P.T.
Physical Therapist in New Berlin, WI. Individual provider (NPI-1).
NPI number1750554259
StatusActive
Last updated in NPPESApr 7, 2008
Details
- NPI
- 1750554259
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan Ann Dorlack
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2008
- Last updated
- Apr 7, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 | 2362-024 | WI | Yes |
Practice location
13530 W Deer Park CtNew Berlin, WI 53151-8776
Phone 414-427-0052
Mailing address
13530 W Deer Park CtNew Berlin, WI 53151-8776
Phone 414-427-0052
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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