NPIMap

Organization Active NPI

Simply Rehab Physical Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Oregon, WI
National Provider Identifier
1104334283
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
10486-24 Issued in WI
Legal business name
SIMPLY REHAB PHYSICAL THERAPY SERVICES, LLC
Practice address
4666 Rutland Dunn Townline Rd
Oregon, WI 53575-2254
Phone
(608) 443-8590
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Carin Johns, DPTNPI 1912062944
Title
Owner/Physical Therapist
Phone
(608) 443-8590

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 10486-24 WI Primary

Addresses

Primary practice location

4666 Rutland Dunn Townline Rd
Oregon, WI 53575-2254

Mailing address

4666 Rutland Dunn Townline Rd
Oregon, WI 53575-2254

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.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1104334283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 RUTLAND DUNN TOWNLINE RD",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535752254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4666 RUTLAND DUNN TOWNLINE RD",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535752254",
            "telephone_number": "608-443-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY REHAB PHYSICAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "CARIN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "608-443-8590",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "10486-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.