LJN Therapy, SC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1246 Issued in WI

Legal business name

LJN THERAPY, SC

Practice address

1404 W Wisconsin Ave
Milwaukee, WI 53233-2238

Phone

(414) 288-1757

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larry John Nosse, PTNPI 1326110859

Title

President

Phone

(414) 453-0135

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Larry John Nosse, PT

  • Physical Therapist
  • Wauwatosa, WI
  • NPI 1326110859
  NPD (past) Authorized official
• Jan Lucas Nosse

  • Physical Therapist
  • Wauwatosa, WI
  • NPI 1750457545
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1073718771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 N 114TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261225",
            "telephone_number": "414-453-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332238",
            "telephone_number": "414-288-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJN THERAPY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "NOSSE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-453-0135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40429500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1326110859",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Living Proof Personal Care Agency
• Lekesha Rene Livingston, APSW
• Mark A Livingston, LPCIT, SAC
• Jennifer L Livschitz, MD, MS
• Stephanie Lizaso, PHARMD
• Katthleen Llaurado, MS,CCC SLP
• Jo Ann Lloyd
• Kimberly Lloyd
• Sharon Lloyd
• Sherhonda Lloyd

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.