OPTIMAL PHYSICAL THERAPY, LLC (NPI# 1508887464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508887464 |
| Entity Type | Organization |
| Organization Name | OPTIMAL PHYSICAL THERAPY, LLC |
| Practice Address |
805 Elm St Lake Mills WI 53551-1127 |
| Mailing Address |
809 N Main St Suite B Lake Mills WI 53551-1118 |
| Practice Telephone | 9206482400 |
| Practice Fax Number | 9206482444 |
| Mailing Telephone | 9206482400 |
| Mailing Fax Number | 9206482444 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | DR. JENNIFER JESCHKE (MANAGER) |
| Authorized Official Telephone | 9206482400 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40431100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701879 | Optimal Physical Therapy, LLC | Clinic/Center | 1700 N Moore St Ste 1925, Arlington, VA 22209-1916 | 2017-06-28 |
| 1962894451 | Optimal Physical Therapy, LLC | Clinic/Center | 4120 S Poplar St, Casper, WY 82601-6104 | 2015-02-20 |
| Street Address |
805 ELM ST |
| City | LAKE MILLS |
| State | WI |
| Zip Code | 53551-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083275168 | Jared Hutterer | Physical Medicine & Rehabilitation | 805 Elm St, Lake Mills, WI 53551-1127 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669793337 | Abigail Marie Mohoney | Speech-Language Pathologist | 901 Mulberry St., Lake Mills, WI 53551 | 2010-06-17 |
| 1467694828 | Penny Ann Mcknight | Registered Nurse | N7119 North Shore Rd, Lake Mills, WI 53551 | 2009-04-01 |
| 1982891289 | Assisted Living Concepts Inc | Assisted Living Facility | 300 Oneil Street, Lake Mills, WI 53551 | 2007-10-01 |
| 1184706160 | Steven John Fahsel | Dentist | 119 W Lake St, Lake Mills, WI 53551 | 2006-10-19 |
| 1245256015 | Jason Carl Gatlin | Physical Therapist | 200 East Tyrannena Road, Therapy and Sport Center, Lake Mills, WI 53551 | 2006-07-14 |
| 1558780221 | Whitney Marie Van Reesen | Family Medicine | 1025 Mulberry St, Lake Mills, WI 53551 | 2014-04-10 |
| 1265761969 | Leanne Anthon | Registered Nurse | 603 Fremont St, Lake Mills, WI 53551-1021 | 2009-12-09 |
| 1174806897 | Ear Clinic, LLC | Clinic/Center | 125b E Pine St, Lake Mills, WI 53551-1103 | 2011-09-20 |
| 1669602488 | Aadvantage Behavioral Healthcare, LLC | Clinic/Center | 125 E Pine St, Lake Mills, WI 53551-1103 | 2009-07-15 |
| 1710986096 | Christopher James Kroll | Chiropractor | 125a E Pine St, Lake Mills, WI 53551-1103 | 2005-07-19 |
| Find all providers in zip 53551 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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 | ||||
| City | LAKE MILLS |
| Zip Code | 53551 |
Please comment or provide details below to improve the information on OPTIMAL PHYSICAL THERAPY, LLC.
| 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.