Dennis Chester Sobush, PT, MA, DPT, CCS

Primary specialty

Cardiopulmonary Physical TherapistTaxonomy code 2251C2600X

License

1436-024 Issued in WI

Practice address

3920 S 120TH St
Greenfield, WI 53228-1882

Phone

(414) 546-2667

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagle P-T

  dba Eagle Physical Therapy

  • Physical Therapist
  • Greenfield, WI
  • NPI 1811104193
  Authorized official Same address or phone

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003943572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 S 120TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281882",
            "telephone_number": "414-546-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S 120TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281882",
            "telephone_number": "414-546-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBUSH",
        "first_name": "DENNIS",
        "middle_name": "CHESTER",
        "name_prefix": "Dr.",
        "credential": "PT, MA, DPT, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "WI",
            "license": "1436-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.