Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Miracle Physical Therapy and Rehab Specialists LLC

Organization Physical Therapist · NPI 1679742191

Miracle Physical Therapy and Rehab Specialists LLC provides Physical Therapist services in Oak Creek, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2333 W Ryan Rd
Oak Creek, WI 53154-4322 Not confirmed with CMS for 16 years — call before visiting
Phone: (877) 552-2996
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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 4072024 (WI)

Record details

NPI number1679742191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Briand — Owner · (877) 852-2996
NPI enumeratedFebruary 28, 2008
Last updated in NPPESMay 18, 2010
Mailing addressPo Box 3497, Sturtevant, WI 53177-0300

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