Organization Active NPI

Team Rehabilitation Services, LLC

  • Physical Therapist
  • Menomonee Falls, WI
National Provider Identifier
1144990490
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TEAM REHABILITATION SERVICES, LLC
Practice address
N81W15014 Appleton Ave
Menomonee Falls, WI 53051-3839
Phone
(262) 714-7040
Fax
(262) 714-7041
NPI assigned
Sep 17, 2021
Last updated
Jul 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
TEAM REHABILITATION SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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

Authorized official

Name
Robert Nicholas WeberNPI 1518994128
Title
Coo
Phone
(313) 282-7757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

N81W15014 Appleton Ave
Menomonee Falls, WI 53051-3839

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Other practice location 1

2333 W Ryan Rd
Oak Creek, WI 53154-4322
Phone (414) 973-1550

Other practice location 2

5764 S 108th St
Hales Corners, WI 53130-1947
Phone (414) 488-0330

Other practice location 3

1905 N Calhoun Rd Ste 105
Brookfield, WI 53005-5036
Phone (262) 333-0040

Other practice location 4

11363 N. Port Washington Road
Mequon, WI 53092
Phone (262) 833-2060

Other practice location 5

5333 N Port Washington Rd Ste B
Glendale, WI 53217-4914
Phone (414) 716-1770

Other practice location 6

813 N Mayfair Rd
Wauwatosa, WI 53226-4241
Phone (414) 522-9000

Other practice location 7

1103 Hunter Dr
MT Pleasant, WI 53406-4040
Phone (262) 800-4440

Other names 1

  • Team Rehabilitation - WI Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211101000098 WI Part B Supplier - Clinic/Group Practice 2264479518 Receives reassigned benefits from 52 practitioners
Practice locations: Brookfield, WI; Glendale, WI; Menomonee Falls, WI; Mequon, WI; Mount Pleasant, WI; Oak Creek, WI; Wauwatosa, WI; West Allis, WI

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Team Rehabilitation LLC6 organizations share this tax ID, including this one
Part of
Team Rehabilitation LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1905 N Calhoun Rd
Ste 105
Brookfield, WI 53005
Phone (262) 333-0040

5764 S 108th St
Hales Corners, WI 53130
Phone (414) 400-7110

N81W15014 Appleton Ave
Menomonee Falls, WI 53051
Phone (262) 714-7040

1103 Hunter Dr
Mount Pleasant, WI 53406
Phone (262) 800-4440

1103 Hunter Dr
#101
Mount Pleasant, WI 53406
Phone (262) 800-4440

2333 W Ryan Rd
Oak Creek, WI 53154
Phone (414) 973-1550

813 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 452-9000

6743 W Greenfield Ave
West Allis, WI 53214
Phone (414) 381-1990

Practitioners & affiliated clinicians

Practitioners 55

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.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658620800000",
    "number": "1144990490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N81W15014 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513839",
            "telephone_number": "262-714-7040",
            "fax_number": "262-714-7041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 W Ryan Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531544322",
            "country_code": "US",
            "telephone_number": "414-973-1550",
            "fax_number": "414-973-1552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5764 S 108th St",
            "address_purpose": "LOCATION",
            "city": "Hales Corners",
            "state": "WI",
            "postal_code": "531301947",
            "country_code": "US",
            "telephone_number": "414-488-0330",
            "fax_number": "414-488-0331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 N Calhoun Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530055036",
            "country_code": "US",
            "telephone_number": "262-333-0040",
            "fax_number": "262-333-0041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11363 N. Port Washington Road",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "53092",
            "country_code": "US",
            "telephone_number": "262-833-2060",
            "fax_number": "262-833-2061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5333 N Port Washington Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532174914",
            "country_code": "US",
            "telephone_number": "414-716-1770",
            "fax_number": "414-716-1772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "813 N Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532264241",
            "country_code": "US",
            "telephone_number": "414-522-9000",
            "fax_number": "414-522-9007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 Hunter Dr",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "WI",
            "postal_code": "534064040",
            "country_code": "US",
            "telephone_number": "262-800-4440",
            "fax_number": "262-800-4434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEAM REHABILITATION SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEAM REHABILITATION SERVICES, LLC",
        "enumeration_date": "2021-09-17",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "313-282-7757"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Rehabilitation - WI",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Team Rehabilitation - WI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.