Active NPI
Genoa City Physical Therapy
- Physical Therapist
- Genoa City, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9814-24
- Legal business name
- GENOA CITY PHYSICAL THERAPY
- Practice address
- 313 Freeman Street
Genoa City, WI 53128 - Phone
- (262) 279-8000
- Fax
- (262) 295-8799
- NPI assigned
- Mar 9, 2011
- Last updated
- Feb 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas A Batson, DPT
- Title
- Owner
- Phone
- (847) 254-1708
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9814-24 | WI | Primary |
Addresses
Primary practice location
313 Freeman Street
Genoa City, WI 53128
Mailing address
5809 Rocky Branch Rd
Signal Mountain, TN 37377-1338
Phone (847) 254-1708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100015187 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Batson Pediatric Physical Therapy and Sport Rehabilitation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Other Specialist/Technologist
- Wauconda, IL
- NPI 1649402629
Practitioners & affiliated clinicians
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.
-
- Physical Therapist
- Genoa City, WI
- NPI 1558376970
-
- Physical Therapy Assistant
- Genoa City, WI
- NPI 1316503915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581552000000",
"number": "1164720587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5809 ROCKY BRANCH RD",
"city": "SIGNAL MOUNTAIN",
"state": "TN",
"postal_code": "373771338",
"telephone_number": "847-254-1708",
"fax_number": "423-269-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 FREEMAN STREET",
"city": "GENOA CITY",
"state": "WI",
"postal_code": "53128",
"telephone_number": "262-279-8000",
"fax_number": "262-295-8799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENOA CITY PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-09",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A",
"authorized_official_last_name": "BATSON",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-254-1708",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9814-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100015187",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Genoa City, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.