Pro Motion Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

9918-24 Issued in WI

Legal business name

PRO MOTION PHYSICAL THERAPY

Practice address

2836 Steamboat Springs Run
Green Bay, WI 54313-9220

Phone

(920) 680-1599

NPI assigned

Apr 4, 2017

Last updated

Dec 27, 2022By 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

Robert BradyNPI 1578666863

Title

Owner

Phone

(920) 680-1599

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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.

• Robert G Brady, PT

  • Orthopedic Physical Therapist
  • De Pere, WI
  • NPI 1578666863
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1144753542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 STEAMBOAT SPRINGS RUN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139220",
            "telephone_number": "920-680-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 STEAMBOAT SPRINGS RUN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139220",
            "telephone_number": "920-680-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MOTION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-680-1599"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "9918-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Price, RN
• Krista S Primley
• Erin Prince, M.D.
• Paul M Pritchard, MD
• Abby M Pritzl, LPC & CSAC
• Procare Chiropractic Clinic LTD
• Professional Family Resources & Associates LLC
• Lauren M Prokes, APNP
• Promises Counseling Services, LLC
• Janice Eileen Proski, LPC-IT

• Orthopedic Physical Therapist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Orthopedic Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.