SPECIALIZED THERAPY SERVICES LLC


Address: 890 Elm Grove Rd Ste 1-1, Elm Grove, WI 53122-2528
Phone: 4147781341

SPECIALIZED THERAPY SERVICES LLC (NPI# 1417367509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417367509
Entity Type Organization
Organization Name SPECIALIZED THERAPY SERVICES LLC
Practice Address 890 Elm Grove Rd Ste 1-1
Elm Grove
WI 53122-2528
Practice Telephone 4147781341
Practice Fax Number 2627943888
Mailing Telephone 4147781341
Mailing Fax Number 2627943888
Enumeration Date 2014-04-29
Last Update Date 2019-07-05
Authorized Official Name DAVE VOLLMERS (OWNER)
Authorized Official Telephone 4147781341
Authorized Official Credential OTR/L
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Office Location

Street Address 890 ELM GROVE RD STE 1-1
City ELM GROVE
State WI
Zip Code 53122-2528

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NPI Name Taxonomy Address Enumeration
1831797687 Brian Gordon Wisniewski Hearing Instrument Specialist 13000 W. Bluemound Road, Elm Grove, WI 53122 2020-10-14
1124279161 Otto Albrecht Wiegmann Ophthalmology 1945 Westmoor Ter, Elm Grove, WI 53122 2008-10-08
1912161266 Kaaya Medicine Internal Medicine 14840 Jueau Blvd, Elm Grove, WI 53122 2008-07-16
1205050903 Actualized Clinical Services Consulting, Inc. Psychologist 820 Brinsmere Drive, Elm Grove, WI 53122 2007-04-12
1487793345 Lynn Joy Gauger Social Worker 740 North Pilgrim Parkway, Suite 206, Elm Grove, WI 53122 2007-02-06
1336218957 Bette L Frangesch Nurse Practitioner 13105 E Watertown Plank Rd, Unite Theresa 2, Elm Grove, WI 53122 2006-11-07
1043398464 Carol Therese Haughey Family Medicine 1050 Legion Drive, Elm Grove, WI 53122 2006-11-02
1700972908 Christos Counseling Social Worker 12970 W. Bluemound Road, #105, Elm Grove, WI 53122 2006-10-05
1932138245 Tammy M Groszczyk Counselor 890 Elm Grove Rd Ste 6, Elm Grove, WI 53122 2006-06-30
1689272437 James Joseph Brinks Hearing Instrument Specialist 13000 W. Bluemound Road, Elm Grove, WI 53122 2020-10-14
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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1720431877 Milwaukee Center for Independence Clinic/Center 6100 N Baker Rd, Glendale, WI 53209-3704 2016-07-13
1518334986 Physiotherapy Associates Inc Clinic/Center 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 2015-09-01
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1386900918 Ministry Door County Clinic/Center 323 S 16th Pl, Sturgeon Bay, WI 54235 2012-04-09
1720364045 Kreative Connexions Therapy Services, LLC Clinic/Center 3111 W National Ave, Milwaukee, WI 53215-1127 2011-11-01
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Competitor

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City ELM GROVE
Zip Code 53122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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