Physical Therapy & Sports Rehabilitation, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4381-024 Issued in WI

Legal business name

PHYSICAL THERAPY & SPORTS REHABILITATION, LLC

Practice address

58 W Market St
Unit J
Elkhorn, WI 53121-1168

Phone

(262) 723-2442

Fax

(262) 723-2412

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Karen Porter, P.T.

Title

Owner

Phone

(262) 723-2442

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083828255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 W MARKET ST",
            "address_2": "UNIT J",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211168",
            "telephone_number": "262-723-2442",
            "fax_number": "262-723-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 W MARKET ST",
            "address_2": "UNIT J",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211168",
            "telephone_number": "262-723-2442",
            "fax_number": "262-723-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & SPORTS REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-723-2442",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4381-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Peters
• Roger Dwight Petersen, M.D.
• Clayton Richard Peterson, LCSW
• Valerian Mark Peterson, MD
• Harrison R Pham
• Christa B Pierce
• Michele Barnard Pindyck, DMD
• Beth Piotter, PT
• Amanda J Pipp, PA-C
• Joyce Placzkowski, SAC-IT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.