Active NPI
Advanced Institute of Rehabilitation Services LLC
- Physical Therapist
- Hales Corners, WI
National Provider Identifier
1003165804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Muskego, WI
- NPI 1093181893
-
- Family Medicine Physician
- Jeffersonville, IN
- NPI 1689832024
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.