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Active NPI 1114002623 Individual Practitioner Female Practitioner

Lara A Bleck , PT

Physical Therapist • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lara Bleck, PT is a certified Physical Therapist practicing in Appleton, WI. With approximately 33 years of clinical experience since completing medical education in 1993, Lara Bleck delivers high-quality medical care to the local community at 1640 N CASALOMA DR.

Lara Bleck is affiliated with Advanced Physical Therapy And Sports Medicine Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using manual technique, each, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1640 N Casaloma Dr

Appleton, WI 549138245

Telephone 9209038545
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Appleton, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +13.8 yrs vs City Avg
City Avg: 19.2 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
203 Specialists

Practicing in Appleton, WI (6638 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bleck (33 Years) 33 Yrs
Appleton Specialty Average (19.2 Years) 19.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
253 14 $83.41 $28.22
97140 Therapy procedure using manual technique, each 15 minutes
167 13 $78.78 $20.28
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
156 14 $83.41 $21.89

Medical Specialties & State Licenses

CMS Verified: 2025-07-11
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License WI 6128024

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
40472100 (WI)

Hospital & Practice Group Affiliations

Advanced Physical Therapy And Sports Medicine Sc

2105 E Enterprise Ave, Appleton, WI 549137862

Phone: 9209912561

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Allison Kroll , OT

Occupational Therapist

NPI 1043473788

Occupational Therapist

Russ Bartholomew , PT

Physical Therapist

NPI 1811974306

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 11, 2025

Registered at 1640 N CASALOMA DR, APPLETON, WI 549138245 (Tel: 9209038545)

NPI Profile Active July 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2008

Registered at 2105 E ENTERPRISE AVE, APPLETON, WI 549137862 (Tel: 9209912561)

📍
Updated Business Mailing Address July 18, 2008

Registered at 2105 E ENTERPRISE AVE, APPLETON, WI 549137862 (Tel: 9209912561)

👤
Provider Name / Credentials Updated July 18, 2008

Recorded as LARA BLECK, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2008

Physical Therapist (License #6128024 in WI)

🟢
Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114002623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: July 11, 2025
Sole Proprietor: No

Mailing Address

2105 E Enterprise Ave

Appleton, WI 549137862

Phone: 9209912561

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.