IndividualActive
Lane Laclair, DPT, CSCS, NSCA-CPT
NPI 1174576706 · Physical Therapist · Union Grove, WI
Provider details
- NPI number
- 1174576706
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, CSCS, NSCA-CPT
- Sex
- Male
- Sole proprietor
- No
- License
- 9917024 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1201 Main St
Union Grove, WI 53182-1303
Phone: (262) 878-9602
Fax: (262) 878-9609
Street-level locationGet directions
Mailing address
1201 Main St
Union Grove, WI 53182-1303
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2015-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.