New Life Physical Therapy & Sports Medicine

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTL.0012676 Issued in CO

Legal business name

NEW LIFE PHYSICAL THERAPY & SPORTS MEDICINE

Practice address

2639 New Pinery Rd Ste 2
Portage, WI 53901-1110

Phone

(608) 742-9356

NPI assigned

Jun 4, 2014

Last updated

Aug 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Rose Strickland, PT, DPT, OCSNPI 1376863324

Title

Physical Therapist / Coo

Phone

(608) 742-9356

Specialties & licenses 1

Addresses

Tax ID family

New Life Physical Therapy and Sports Medicine Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Life Physical Therapy & Sports Medicine, Inc.

  • Physical Therapist
  • Portage, WI
  • NPI 1467499939
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Rose Strickland, PT, DPT

  • Physical Therapist
  • Portage, WI
  • NPI 1376863324
  NPD Authorized official
• Matthew J Vanderkooi, PT

  • Physical Therapist
  • Portage, WI
  • NPI 1932180775
  NPD

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1033522354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 NEW PINERY RD STE 2",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011110",
            "telephone_number": "608-742-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 NEW PINERY RD STE 2",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011110",
            "telephone_number": "608-742-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE PHYSICAL THERAPY & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "MARY ROSE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / COO",
        "authorized_official_telephone_number": "608-742-9356",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "PTL.0012676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Daniel Mueller, D.O.
• Sarah Frances Mueller, PT, DPT
• Stephen C. Murphy, D.P.M.
• Lori N Nadolski
• Peggy Louann Nelson, OT
• New Life Physical Therapy & Sports Medicine, Inc.
• Brittany Danielle Newlon
• Tiala Shaina Kawela Nicely, BA
• Kay M Nigbor, COTA
• Sarah Lynn Niles, M.S.S.W. CAPSW

• Physical Therapy Clinic/Center in Portage, WI
• Providers in Portage, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.