Denise Theyerl, PT
Individual provider Active NPI Pediatric Physical Therapist · Elkhart Lake, WI
NPI 1265367486 · NPPES record last updated Jun 17, 2026
Key facts
- NPI
- 1265367486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 3725-24 (WI)
- Practice address
- 451 Park PL
Elkhart Lake, WI 53020-1226 - Phone
- (715) 579-1396
- NPI assigned
- Jun 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 3725-24 | WI | |
| Orthopedic Physical Therapist | 2251X0800X | 3725-24 | WI | |
| Pediatric Physical Therapist | 2251P0200X | 3725-24 | WI | Yes |
Addresses
Primary practice location
451 Park PL
Elkhart Lake, WI 53020-1226
Mailing address
451 Park PL
Elkhart Lake, WI 53020-1226
Phone (715) 579-1396
Other practice location 1
3360 Gateway Rd Ste 200
Brookfield, WI 53045-5115
Phone (262) 289-3833
Other providers in Elkhart Lake, WI
All providers in Elkhart Lake, WI · Pediatric Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.