MEDICARE: DR. MICHAEL R SCALES DPT, LAT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	11219-24	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326395369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL R SCALES DPT, LAT, ATC

Provider Business Mailing Address
First Line	:	PO BOX 735044
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-5044
Country	:	US
Telephone Number	:	800-326-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	4655 N PORT WASHINGTON RD STE 350
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53212-1004
Country	:	US
Telephone Number	:	414-332-7475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2012
Last Update Date	:	03/19/2025

Similar Medicare Providers

1962493346 — HOWARD N DUBNER MD
Practice Location Address:

4655 N PORT WASHINGTON RD , SUITE 200
GLENDALE, WI
53212-1004

Practice Phone: 414-906-4400
Practice Fax:

1144275504 — MRS. CRYSTAL M TOLL PT
Practice Location Address:

4655 N PORT WASHINGTON RD STE 350
GLENDALE, WI
53212-1004

Practice Phone: 414-332-7475
Practice Fax: 414-332-7494

1083623433 — MICHAEL H GILMAN D.O.
Practice Location Address:

4655 N PORT WASHINGTON RD , SUITE 100
GLENDALE, WI
53212-1004

Practice Phone: 414-961-7444
Practice Fax: 414-961-7445

1174638621 — JOHN WAELTZ M.D.
Practice Location Address:

4655 N PORT WASHINGTON RD , SUITE 100
GLENDALE, WI
53212-1004

Practice Phone: 414-961-7444
Practice Fax: 414-961-7445

1336491646 — MHARAJOY S KOBINAH APNP
Practice Location Address:

4655 N PORT WASHINGTON RD , SUITE 325
GLENDALE, WI
53212-1004

Practice Phone: 414-269-8282
Practice Fax: 414-269-8280

1891245478 — DAVID F MCCOY PT
Practice Location Address:

4655 N PORT WASHINGTON RD
GLENDALE, WI
53212-1004

Practice Phone: 414-332-7475
Practice Fax:

Directions to “ DR. MICHAEL R SCALES DPT, LAT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.