East Meets West Therapeutics SC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

13342 Issued in WI

Legal business name

EAST MEETS WEST THERAPEUTICS SC

Doing business as

East Meets West Therapeutics

Practice address

136 N Main St Ste 305
Thiensville, WI 53092-1606

Phone

(847) 226-8358

Fax

(262) 292-1221

NPI assigned

Jul 12, 2016

Organization subpart

Yes

Parent organization

SHALOM EX-IMPORT, INC.As reported in NPPES

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

Authorized official

Name

Joan Pelayo, PT, DPT, L.AC.

Title

President

Phone

(847) 226-8358

Specialties & licenses 2

Addresses

Other names 1

• East Meets West Therapeutics Doing business as

Part of

Shalom Ex-Import Inc

Locations

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1114379310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST STE 305",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921606",
            "telephone_number": "847-226-8358",
            "fax_number": "262-292-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST STE 305",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921606",
            "telephone_number": "847-226-8358",
            "fax_number": "262-292-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MEETS WEST THERAPEUTICS SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHALOM EX-IMPORT, INC.",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "PELAYO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-226-8358",
        "authorized_official_credential": "PT, DPT, L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "838",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "13342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Meets West Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Thiensville, WI
• Providers in Thiensville, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.