Sean Blum, DPT
Individual provider Active NPI Physical Therapist · Fond Du Lac, WI
NPI 1407765332 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1407765332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- N8679 Lakeshore Dr
Fond Du Lac, WI 54937-1727 - Phone
- (630) 456-8698
- NPI assigned
- Sep 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | WI | Yes |
Addresses
Primary practice location
N8679 Lakeshore Dr
Fond Du Lac, WI 54937-1727
Mailing address
N8679 Lakeshore Dr
Fond Du Lac, WI 54937-1727
Phone (630) 456-8698
Other providers in Fond Du Lac, WI
- Blandine House Inc
- Christopher J Blattner
- Jacquelyn Mae Block
- Melanie M. Bloedorn-Hansen
- Blue Lake Smiles
- Thomas Blum
- Renee L Bodary
- Samantha Boehnlein
- Tiffany Marie Boelk
- Jacqueline Lee Bogan
All providers in Fond Du Lac, WI · 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 Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.