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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Street Address |
890 ELM GROVE RD STE 1-1 |
City | ELM GROVE |
State | WI |
Zip Code | 53122-2528 |
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 |
Find all providers in zip 53122 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
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1225548316 | Thrive Learning Center, LLP | Clinic/Center | N3219 County Road H Ste F, Lake Geneva, WI 53147-7074 | 2017-10-03 |
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1518334986 | Physiotherapy Associates Inc | Clinic/Center | 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 | 2015-09-01 |
1710300173 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1800 Bluebell Ln, C/o Harmony of Stevens Point, Stevens Point, WI 54482-8983 | 2014-01-21 |
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 |
Find all providers with the same taxonomy |
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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.