Organization Active NPI

Advanced Institute of Rehabilitation Services LLC

  • Physical Therapist
  • Hales Corners, WI
National Provider Identifier
1003165804
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANCED INSTITUTE OF REHABILITATION SERVICES LLC
Practice address
5301 S 108TH St
Hales Corners, WI 53130-1332
Phone
(414) 586-0036
Fax
(414) 586-0046
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jodi Czernejewski, MS/CCC
Title
Ceo
Phone
(262) 510-6350

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 368154 WI

Addresses

Primary practice location

5301 S 108TH St
Hales Corners, WI 53130-1332

Mailing address

S75W20437 Field Dr
Muskego, WI 53150-7400
Phone (262) 510-6350

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1003165804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S75W20437 FIELD DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507400",
            "telephone_number": "262-510-6350",
            "fax_number": "866-594-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S 108TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301332",
            "telephone_number": "414-586-0036",
            "fax_number": "414-586-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INSTITUTE OF REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "CZERNEJEWSKI",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "262-510-6350",
        "authorized_official_credential": "MS/CCC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "368154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hales Corners, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.