Select Rehabilitation Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

2133-26 Issued in WI

Legal business name

SELECT REHABILITATION INC

Practice address

720 Arbor Vitae PL
Verona, WI 53593-1763

Phone

(847) 441-5593

NPI assigned

Nov 12, 2015

Last updated

Nov 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anna Gardina Wolfe

Title

President

Phone

(847) 441-5593

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Michael Capstick, P.T.

  • Physical Therapist
  • Northfield, IL
  • NPI 1801200373
  NPD
• Linda T Hofstetter, OT

  • Occupational Therapist
  • Verona, WI
  • NPI 1316113418
  NPD (past)

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1093188062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001",
            "telephone_number": "847-441-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ARBOR VITAE PL",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931763",
            "telephone_number": "847-441-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "GARDINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-441-5593",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WI",
            "license": "2133-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41221200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Schwenn, RBT
• Andrea Leigh Scott, MS, OTR/L, ASDCS
• Hannah Seabrook
• Larry Seibert, RPH
• Molly Jane Seiter, DMD
• Elizabeth Severson
• Katherine Severson
• Julie E Sherry
• Kyle Jefferson Sherwin, DO
• Sally Sholl, R.N.

• Rehabilitation Clinic/Center in Verona, WI
• Providers in Verona, WI by specialty
• Rehabilitation Clinic/Center in Wisconsin

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