Organization Active NPI

Xcel Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Jefferson, WI
National Provider Identifier
1053508978
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6214-024 Issued in WI
Legal business name
XCEL PHYSICAL THERAPY, INC.
Practice address
621 W Racine St
Jefferson, WI 53549-1048
Phone
(608) 279-6960
Fax
(866) 401-0083
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Dr. Todd G Goldbeck, DPT, ATC, CSCS, STC
Title
Owner/Director
Phone
(608) 279-6960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 6214-024 WI Primary

Addresses

Primary practice location

621 W Racine St
Jefferson, WI 53549-1048

Mailing address

621 W Racine St
Jefferson, WI 53549-1048
Phone (608) 279-6960

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1053508978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W RACINE ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491048",
            "telephone_number": "608-279-6960",
            "fax_number": "866-401-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W RACINE ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491048",
            "telephone_number": "608-279-6960",
            "fax_number": "866-401-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCEL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "GOLDBECK",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "608-279-6960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, ATC, CSCS, STC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "6214-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, WI

Sources for this page

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