NPIMap

Organization Active NPI

Precision Physical Therapy LLC

  • Physical Therapist
  • Ontario, WI
National Provider Identifier
1245548882
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4268-024 Issued in WI
Legal business name
PRECISION PHYSICAL THERAPY LLC
Practice address
100 W. South Street
Ontario, WI 54651
Phone
(608) 337-4222
Fax
(608) 337-4222
NPI assigned
Sep 16, 2010
Last updated
Feb 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Mr. Mark Patrick Essling
Title
Ceo
Phone
(763) 689-5585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4268-024 WI Primary

Addresses

Primary practice location

100 W. South Street
Ontario, WI 54651

Mailing address

S. 610 Downing Rd.
Ontario, WI 54651-7531
Phone (608) 337-4222

Other identifiers 1

IdentifierTypeStateIssuer
40199100MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1245548882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S. 610 DOWNING RD.",
            "city": "ONTARIO",
            "state": "WI",
            "postal_code": "546517531",
            "telephone_number": "608-337-4222",
            "fax_number": "608-337-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W. SOUTH STREET",
            "city": "ONTARIO",
            "state": "WI",
            "postal_code": "54651",
            "telephone_number": "608-337-4222",
            "fax_number": "608-337-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "ESSLING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-689-5585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4268-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40199100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.