Active NPI
Lydia Perez Kocis, DPT
- Physical Therapist
- Fond Du Lac, WI
National Provider Identifier
1316826191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14099
- Practice address
- 430 E Division St
Fond Du Lac, WI 54935-4560 - Phone
- (920) 929-2300
- NPI assigned
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17943-24 | WI | |
| Physical Therapist | 225100000X | 14099 | MN | Primary |
| Physical Therapist | 225100000X | PT-2025-0350 | NM |
Addresses
Primary practice location
430 E Division St
Fond Du Lac, WI 54935-4560
Mailing address
1697 Fulham St Apt D
Lauderdale, MN 55113-5248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14099 | MN | MD | Physical Therapist |
| PT-2025-0350 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1316826191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1697 FULHAM ST APT D",
"city": "LAUDERDALE",
"state": "MN",
"postal_code": "551135248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 E DIVISION ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549354560",
"telephone_number": "920-929-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ KOCIS",
"first_name": "LYDIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-27",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "17943-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "14099",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT-2025-0350",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.