NPIMap

Organization Active NPI

Promotion Fitness & Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Fitchburg, WI
National Provider Identifier
1083814404
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROMOTION FITNESS & PHYSICAL THERAPY, LLC
Practice address
5973 Executive Dr
Suite #3
Fitchburg, WI 53719-5303
Phone
(608) 663-1090
Fax
(608) 663-1097
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Todd Nierman, PT, CSCSNPI 1871651661
Title
Owner
Phone
(608) 663-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5973 Executive Dr
Suite #3
Fitchburg, WI 53719-5303

Mailing address

5973 Executive Dr
Suite #3
Fitchburg, WI 53719-5303
Phone (608) 663-1090

National Provider Directory

National Provider Directory

Locations

8312 Forsythia St
Middleton, WI 53562
Phone (608) 438-8215

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1083814404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5973 EXECUTIVE DR",
            "address_2": "SUITE #3",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195303",
            "telephone_number": "608-663-1090",
            "fax_number": "608-663-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5973 EXECUTIVE DR",
            "address_2": "SUITE #3",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195303",
            "telephone_number": "608-663-1090",
            "fax_number": "608-663-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMOTION FITNESS & PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "NIERMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-663-1090",
        "authorized_official_credential": "PT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.