Concierge Rehab Group LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CONCIERGE REHAB GROUP LLC

Practice address

525 Junction Rd Ste 6500
Madison, WI 53717-2153

Phone

(224) 216-3518

Fax

(312) 500-4687

NPI assigned

Mar 19, 2021

Organization subpart

Yes

Parent organization

JEFF MATHIS ASSOCIATES, INCAs reported in NPPES

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

Authorized official

Name

Mr. Jeffrey J Mathis

Title

Managing Member

Phone

(224) 216-3518

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1033795174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S 4TH ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535722220",
            "telephone_number": "224-216-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 JUNCTION RD STE 6500",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172153",
            "telephone_number": "224-216-3518",
            "fax_number": "312-500-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE REHAB GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFF MATHIS ASSOCIATES, INC",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "224-216-3518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brogan Comstock, CPO
• Jeanette Rae Comstock, MD
• Sara Elizabeth Comstock, DO
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Kevin Condit
• Paige Elizabeth Condit, MD
• Stephanie Rachel Condoluci, OTR/L
• Amanda J Condon, PHARM D
• Kathryn E Condon, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.