OrganizationActive
Miracle Physical Therapy and Rehab Specialists LLC
NPI 1679742191 · Physical Therapist · Oak Creek, WI
Provider details
- NPI number
- 1679742191
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Larry Briand, Owner(877) 852-2996
- License
- 4072024 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2333 W Ryan Rd
Oak Creek, WI 53154-4322
Phone: (877) 552-2996
Street-level locationGet directions
Mailing address
Po Box 3497
Sturtevant, WI 53177-0300
Registry dates
- Enumerated
- 2008-02-28
- Last updated
- 2010-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.