SPORTS PHYSICAL THERAPY & REHAB SPECIALIST, S.C. (NPI# 1730689548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730689548 |
| Entity Type | Organization |
| Organization Name | SPORTS PHYSICAL THERAPY & REHAB SPECIALIST, S.C. |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
8153 S 27th St Franklin WI 53132-9549 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 4144484100 |
| Practice Fax Number | 4144484101 |
| Mailing Telephone | 6305751980 |
| Mailing Fax Number | 6309285080 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Authorized Official Name | JUANA GRANADOS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6305751980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ATHLETICO PHYSICAL THERAPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801396619 | Sports Physical Therapy & Rehab Specialist, S.c. | Physical Therapist | 326 W Brown Deer Rd, Bayside, WI 53217-2319 | 2018-02-19 |
| 1891295614 | Sports Physical Therapy & Rehab Specialist, S.c. | Physical Therapist | 17495 W Capitol Dr Ste L, Brookfield, WI 53045-2059 | 2018-02-19 |
| 1851891675 | Sports Physical Therapy & Rehab Specialist, S.c. | Occupational Therapist | N112w15237 Mequon Rd Ste 500, Germantown, WI 53022-3468 | 2018-02-19 |
| Street Address |
8153 S 27TH ST |
| City | FRANKLIN |
| State | WI |
| Zip Code | 53132-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426763 | Robert D Matteucci | Podiatrist | 8153 S 27th St, Suite 400, Franklin, WI 53132-9549 | 2005-06-10 |
| 1548679046 | Glsd Medical LLC | Clinic/Center | 8153 S 27th St, Suite 500, Franklin, WI 53132-9549 | 2014-08-08 |
| 1558674028 | Douglas Milosavljevic, M.d., S.c. | Anesthesiology | 8153 S 27th St, Suite 300, Franklin, WI 53132-9549 | 2010-07-26 |
| 1649401258 | Great Lakes Pain Specialists, LLC | Anesthesiology | 8153 S 27th St, Franklin, WI 53132-7012 | 2009-07-30 |
| 1497980759 | Great Lakes Medical LLC | Clinic/Center | 8153 S 27th St, Franklin, WI 53132-7012 | 2009-05-15 |
| 1316101595 | Great Lakes Foot & Ankle of Greater Milwaukee | Clinic/Center | 8153 S 27th St, 400, Franklin, WI 53132-9549 | 2008-07-16 |
| 1831173822 | Douglas Milosavljevic | Anesthesiology | 8153 S 27th St, Suite 500, Franklin, WI 53132-9549 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014405 | Michelle L. Lamers, D.d.s, L.L.C. | Dentist | 7111 S 76 Street, Franklin, WI 53132 | 2019-07-11 |
| 1649833765 | Lori A Mansur | Registered Nurse | 6580 S. 46th St., Franklin, WI 53132 | 2019-04-15 |
| 1619496296 | Emily Ninnemann | Occupational Therapist | 8940 S. 51st St, Franklin, WI 53132 | 2017-09-14 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1174980098 | Lisa Obrien | Registered Nurse | 3111 W Rawson Ave Ste 210, Franklin, WI 53132 | 2016-01-22 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1275940769 | Tristan Krause | Nurse Practitioner | 4225 W. Oakwood Park Court, Franklin, WI 53132 | 2014-07-16 |
| 1922344613 | Vital Imaging, LLC | Clinic/Center | 10500 W. Loomis Rd., Ste 130, Franklin, WI 53132 | 2012-12-27 |
| 1013285311 | Jill Barth | Pharmacist | 7130 South 76th Street, Franklin, WI 53132 | 2011-12-01 |
| 1235417783 | Hilary Megan Mayne | Dentist | 6855 South 27th St, Franklin, WI 53132 | 2011-08-02 |
| Find all providers in zip 53132 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518587997 | Owlbridge Wellness | Clinic/Center | 5146 Renaissance Park Dr, Franklin, OH 45005-9697 | 2020-04-25 |
| 1922344613 | Vital Imaging, LLC | Clinic/Center | 10500 W. Loomis Rd., Ste 130, Franklin, WI 53132 | 2012-12-27 |
| 1225333164 | Kyd Kyro | Clinic/Center | 390 Mallory Station Rd, Ste 103, Franklin, TN 37067-8279 | 2011-01-25 |
| 1235442401 | Shyam L. Khanna, M.d., P.C. | Clinic/Center | 32220 Scenic Lane, Franklin, MI 48025-1037 | 2010-07-16 |
| 1801036652 | Mckay's Mill Dental | Clinic/Center | 2090 Oxford Gln, Suite 500, Franklin, TN 37067-8656 | 2009-03-05 |
| 1114045135 | Forge Hill Assisted Living, LLC | Clinic/Center | 4 Forge Hill Rd, Franklin, MA 02038-3162 | 2007-03-27 |
| 1720131733 | Michael G. Minter Mdsc | Clinic/Center | 9200 W Loomis Rd Ste 203, Franklin, WI 53132-9658 | 2007-01-21 |
| 1053957704 | Cardinal Recovery LLC | Clinic/Center | 1130 W Jefferson St Ste B, Franklin, IN 46131-2760 | 2019-11-18 |
| 1225336787 | Kerri Rainey | Clinic/Center | 1324 W Main St, Franklin, TN 37064-3784 | 2011-03-08 |
| 1255657946 | Jesus L. Chua Md A Professional Medical Corporation | Clinic/Center | 602 Haifleigh St, Franklin, LA 70538-3731 | 2010-04-20 |
| Find all providers in FRANKLIN | ||||
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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.