Healthcare Provider Details

I. General information

NPI: 1770703928
Provider Name (Legal Business Name): ORTHOPLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8605 W CENTER ST
MILWAUKEE WI
53222-4760
US

IV. Provider business mailing address

8605 W CENTER ST
MILWAUKEE WI
53222-4760
US

V. Phone/Fax

Practice location:
  • Phone: 414-774-3870
  • Fax: 414-257-2436
Mailing address:
  • Phone: 414-774-3870
  • Fax: 414-257-2436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number412055
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3259024
License Number StateWI

VIII. Authorized Official

Name: MR. DONALD R CARLSON
Title or Position: OWNER PRESIDENT
Credential: PT CFMT LAC
Phone: 414-774-3870