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

Oconto Physical Therapy, LLC

Organization Physical Therapist · NPI 1124016407

Oconto Physical Therapy, LLC provides Physical Therapist services in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
Specialties on file
2
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

300 N Broadway Ste 3C
Green Bay, WI 54303-2702 Not confirmed with CMS for 12 years — call before visiting
Phone: (920) 437-7246
Fax: (920) 437-1511
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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 1934 (WI)
Physical Therapist Taxonomy 225100000X · Licence 2368 (WI)

Record details

NPI number1124016407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Willette — Billing Manager · (920) 437-7246
Other names Haight Pain
NPI enumeratedOctober 11, 2005
Last updated in NPPESAugust 27, 2014
Mailing address300 N Broadway, Suite 3c, Green Bay, WI 54303-2702

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