GENOA CITY FYZICAL, LLC (NPI# 1588132260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588132260 |
| Entity Type | Organization |
| Organization Name | GENOA CITY FYZICAL, LLC |
| Practice Address |
112 Elizabeth Ln Unit C Genoa City WI 53128-2120 |
| Mailing Address |
5809 Rocky Branch Rd Signal Mountain TN 37377-1338 |
| Practice Telephone | 2622792800 |
| Practice Fax Number | 2622958799 |
| Mailing Telephone | 8472541708 |
| Mailing Fax Number | 4232698746 |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2018-11-11 |
| Authorized Official Name | NICHOLAS BATSON (OWNER) |
| Authorized Official Telephone | 2622792800 |
| 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 |
Ambulatory Health Care Facilities |
| Street Address |
112 ELIZABETH LN UNIT C |
| City | GENOA CITY |
| State | WI |
| Zip Code | 53128-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316503915 | Michael J Hennigan | Physical Therapy Assistant | 112 Elizabeth Ln Unit C, Genoa City, WI 53128-2120 | 2019-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558376970 | Nicholas A Batson | Physical Therapist | 313 Freeman Street, Genoa City, WI 53128 | 2006-07-31 |
| 1164720587 | Genoa City Physical Therapy | Physical Therapist | 313 Freeman Street, Genoa City, WI 53128 | 2011-03-09 |
| 1679772669 | Mary M. Waller | Dentist | 501 Freeman St., Genoa City, WI 53128-0159 | 2007-07-11 |
| 1902204878 | Catherine Lindskog | Counselor | 39610 Lake Park Ct, Genoa City, WI 53128-1283 | 2014-12-09 |
| 1629451786 | Virginia Lantz | Licensed Practical Nurse | W1026 Green Rd, Genoa City, WI 53128-1448 | 2015-07-07 |
| 1508291238 | Therese Marie O'grady | Registered Nurse | W1007 Violet Rd, Genoa City, WI 53128-1666 | 2013-09-12 |
| 1144528415 | Sharon Lee Ehrlich | Licensed Practical Nurse | N913 Rose Drive, Genoa City, WI 53128-1924 | 2011-03-10 |
| 1699066118 | Jaclyn Joy Webster | Registered Nurse | 1007 Mallard Ln, Genoa City, WI 53128-1995 | 2011-05-02 |
| 1952457269 | Cynthia Rae Klabunde | Registered Nurse | 949 Bonnie Ln, Genoa City, WI 53128-2062 | 2007-01-27 |
| 1447799580 | Geneva Surgical Suites, LLC | Clinic/Center | 119 Elizabeth Lane, Genoa City, WI 53128-2124 | 2017-02-22 |
| Find all providers in zip 53128 | ||||
| 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 | GENOA CITY |
| Zip Code | 53128 |
Please comment or provide details below to improve the information on GENOA CITY FYZICAL, 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.