CALEDONIA PHYSICAL THERAPY, S.C. (NPI# 1427103738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427103738 |
| Entity Type | Organization |
| Organization Name | CALEDONIA PHYSICAL THERAPY, S.C. |
| Practice Address |
5401 Douglas Ave Racine WI 53402-2034 |
| Mailing Address |
2470 Catherine Dr Racine WI 53402-1604 |
| Practice Telephone | 2626818829 |
| Practice Fax Number | 2626818830 |
| Mailing Telephone | 2629394120 |
| Mailing Fax Number | 2626818830 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TIMOTHY LEE ULRICH (PRESIDENT) |
| Authorized Official Telephone | 2629394120 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5733-024 | WI | Ambulatory Health Care Facilities |
| Street Address |
5401 DOUGLAS AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53402-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1174931711 | Kimberly Filkins | Acupuncturist | 5401 Douglas Ave, Racine, WI 53402-2034 | 2014-07-28 |
| 1902196538 | Catherine Rose Ulrich | Occupational Therapist | 5401 Douglas Ave, Suite A, Racine, WI 53402-2034 | 2011-04-16 |
| 1003011875 | Yorgan Chiropractic Office, Sc | Chiropractor | 5401 Douglas Ave, Racine, WI 53402-2034 | 2007-06-20 |
| 1356400519 | Timothy Paul Schneider | Chiropractor | 5401 Douglas Ave, Racine, WI 53402-2034 | 2006-12-06 |
| 1194883256 | Kenneth John Yorgan | Chiropractor | 5401 Douglas Ave, Racine, WI 53402-2034 | 2006-12-04 |
| 1437232733 | Timothy Lee Ulrich | Physical Therapist | 5401 Douglas Ave, Racine, WI 53402-2034 | 2006-10-23 |
| 1821104795 | Romeo B Biboso | General Practice | 5401 Douglas Ave, Ste A, Racine, WI 53402 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| 1407874191 | Steven E Drenning | Social Worker | 3710 Douglas Avenue, Racine, WI 53402 | 2006-07-18 |
| Find all providers in zip 53402 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265717490 | Head To Toe Physical Therapy | Clinic/Center | 5820 Washington Avenue, Racine, WI 53406 | 2011-10-19 |
| 1639472756 | John T. Dembowiak, Lpt, S.c. | Clinic/Center | 5820 Washington Ave, Racine, WI 53406-4020 | 2010-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313074 | Byond Physical Therapy, LLC | Clinic/Center | 11320 W Forest Home Ave, Franklin, WI 53132-1401 | 2020-10-13 |
| 1568078780 | Streamline Physical Therapy | Clinic/Center | 5806 Crabapple Ln, Madison, WI 53711-3437 | 2020-09-22 |
| 1790311199 | Exos Wi LLC | Clinic/Center | 7044 S Ballpark Dr Ste 300, Franklin, WI 53132-6910 | 2020-03-17 |
| 1831735885 | Garvey Physical Therapy & Wellness LLC | Clinic/Center | 417 Maple Ct, Campbellsport, WI 53010-3531 | 2019-11-25 |
| 1821649088 | Impact Physical Therapy & Performance LLC | Clinic/Center | 1155 Clarity Dr, Verona, WI 53593-9318 | 2019-09-27 |
| 1427605146 | Peak Endurance | Clinic/Center | 15 N Butler St, Madison, WI 53703-4237 | 2019-08-19 |
| 1558917617 | Quad/med, LLC | Clinic/Center | N61 W23044 Harry's Way, Sussex, WI 53089 | 2019-08-14 |
| 1619521267 | Space To Be Well, LLC | Clinic/Center | 1091 Sutherland Ave, River Falls, WI 54022-7509 | 2019-07-31 |
| 1346894656 | Cornerstone Physical Therapy, LLC | Clinic/Center | 2829 County Highway I Ste 3, Chippewa Falls, WI 54729-2678 | 2019-07-25 |
| 1619437514 | Resilience Rx LLC | Clinic/Center | 4708 Graywood Ct Apt 3, Nashotah, WI 53058-9688 | 2019-03-25 |
| 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.