One-on-One Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 5600-024 Issued in WI

Legal business name

ONE-ON-ONE PHYSICAL THERAPY, LLC

Practice address

503 Minors Dr
Mukwonago, WI 53149-9413

Phone

(414) 640-2372

Fax

(262) 363-5227

NPI assigned

Sep 4, 2006

Organization subpart

No

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

Authorized official

Name

John Christopher Beauchamp, PTNPI 1285736793

Title

President/Ceo

Phone

(414) 640-2372

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Christopher Beauchamp, PT

  • Physical Therapist
  • Mukwonago, WI
  • NPI 1285736793
  NPD Authorized official
• Jennifer Maikowski, PT

  • Physical Therapist
  • Greendale, WI
  • NPI 1972604445
  NPD (past)

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1053413567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MINORS DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499413",
            "telephone_number": "414-640-2372",
            "fax_number": "262-363-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MINORS DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499413",
            "telephone_number": "414-640-2372",
            "fax_number": "262-363-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE-ON-ONE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "414-640-2372",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "PT 5600-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11231010",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "PT 5600-024",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "0007744470",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP, US DEPT. OF LABOR",
            "identifier": "610442200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH ID",
            "identifier": "2128442",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tori E Neil
• Mark E. Nordness, M.D.
• Anthony Norelli, M.D.
• Norris Adolescent Center
• Norris Adolescent Center
• Orthopaedic Associates of Wisconsin SC
• Tanner Paque, PHARMD
• Hong-Lim Park, DIPL. OM, LAC, OMD
• Julie Patterson, RN, BSN, IBCLC
• Richard R Pearson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.