SPORTS PHYSICAL THERAPY & REHAB SPECIALIST, S.C. (NPI# 1801396619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801396619 |
| Entity Type | Organization |
| Organization Name | SPORTS PHYSICAL THERAPY & REHAB SPECIALIST, S.C. |
| Other Organization Name | ATHLETICO PHYSICAL THERAPY |
| Practice Address |
326 W Brown Deer Rd Bayside WI 53217-2319 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 4142247834 |
| Practice Fax Number | 4142247835 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1730689548 | Sports Physical Therapy & Rehab Specialist, S.c. | Physical Therapist | 8153 S 27th St, Franklin, WI 53132-9549 | 2018-02-19 |
| Street Address |
326 W BROWN DEER RD |
| City | BAYSIDE |
| State | WI |
| Zip Code | 53217-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| 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 |
|---|---|---|---|---|
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
| 1790027985 | Healthland Medical Care Pllc | Clinic/Center | 43-16 215th St, Bayside, NY 11356 | 2013-03-26 |
| 1184661290 | The Shield of David, Inc. | Clinic/Center | 3909 214th Pl, Bayside, NY 11361-2123 | 2006-05-31 |
| 1346724051 | Bayside Endoscopy Medical P.C. | Clinic/Center | 21333 39th Ave Ste 248, Bayside, NY 11361-2092 | 2018-09-18 |
| 1407251697 | Achieveable Ot, P.C. | Clinic/Center | 4223 Francis Lewis Blvd, Suite Ll107, Bayside, NY 11361-2575 | 2014-10-30 |
| 1093085201 | Lefcort Mua Chiropractic, P.C. | Clinic/Center | 21315 33rd Rd, Bayside, NY 11361-1508 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
| 1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
| 1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
| 1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
| 1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
| 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.