Kenosha Achievement Center
Organization Active NPI Pediatric Physical Therapist · Kenosha, WI
NPI 1013974849 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1013974849
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- Legal business name
- KENOSHA ACHIEVEMENT CENTER
- Practice address
- 1218 79TH St
Kenosha, WI 53143-6111 - Phone
- (262) 658-9500
- Fax
- (262) 658-9621
- NPI assigned
- Apr 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Christine Weyker
- Title
- Ceo
- Phone
- (262) 658-9500
Practitioners 11
-
Sherry M Clifton, PT
-
Christina A Cotey, DPT
-
Riley A Wierman, MS/CCC-SLP
-
Angella L Ames, PT
National Provider Directory
Locations
1218 79th St
Kenosha, WI 53143
Phone (262) 658-9500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist |
2251P0200X | Yes | ||
| Pediatric Occupational Therapist |
225XP0200X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
1218 79TH St
Kenosha, WI 53143-6111
Mailing address
1218 79TH St
Kenosha, WI 53143-6111
Phone (262) 658-9500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41217500 | Medicaid | WI |
Other providers in Kenosha, WI
- Elias Graham Keith
- Kari Kellar
- Madison Kempf
- Danna Kendall
- Marc V Kennedy
- Kenosha Area Family and Aging Services, Inc.
- Kenosha Community Health Center, Inc
- Kenosha Community Health Center, Inc
- Kenosha Community Health Center, Inc.
- Kenosha County Department of Human Services
All providers in Kenosha, WI · Pediatric Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.