NPIMap

Organization Active NPI

Mark J Neu PT, SC

  • Physical Therapist
  • Kenosha, WI
National Provider Identifier
1073988309
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4727-24 Issued in WI
Legal business name
MARK J NEU PT, SC
Practice address
5024 Green Bay Rd
Kenosha, WI 53144-1702
Phone
(262) 925-0200
NPI assigned
Dec 11, 2015
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Mark J NeuNPI 1689696015
Title
Owner
Phone
(262) 925-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4727-24 WI Primary

Addresses

Primary practice location

5024 Green Bay Rd
Kenosha, WI 53144-1702

Mailing address

5024 Green Bay Rd
Kenosha, WI 53144-1702
Phone (262) 925-0200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1073988309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 GREEN BAY RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441702",
            "telephone_number": "262-925-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 GREEN BAY RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441702",
            "telephone_number": "262-925-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J NEU PT, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "NEU",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-925-0200"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4727-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.