Vesta Therapy & Consulting, LLC

Key facts

NPI

1043433865

Entity type

Organization (NPI type 2)

Primary specialty

Physical Therapist 225100000X

Legal business name

VESTA THERAPY & CONSULTING, LLC

Practice address

6317 W Lloyd St
Wauwatosa, WI 53213-2007

Phone

(414) 460-3831

Fax

(866) 305-4762

NPI assigned

Apr 10, 2007

Organization subpart

No

Authorized official

Name

Ms. Jayne Ziehm, PT, MPT

Title

Managing Member

Phone

(414) 460-3831

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2016.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1043433865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 W LLOYD ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132007",
            "telephone_number": "414-460-3831",
            "fax_number": "866-305-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 W LLOYD ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132007",
            "telephone_number": "414-460-3831",
            "fax_number": "866-305-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTA THERAPY & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "ZIEHM",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "414-460-3831",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WI",
            "license": "5717",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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