Organization Active NPI

Ms. Elle Huck, Pta

  • Physical Therapy Assistant
  • Kenosha, WI
National Provider Identifier
1245650837
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2155-19 Issued in WI
Legal business name
MS. ELLE HUCK, PTA
Practice address
7201 Green Bay Rd
Kenosha, WI 53142-3532
Phone
(262) 694-3977
Fax
(262) 694-5648
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Mr. William H. Letsom, P.T.
Title
President
Phone
(262) 694-3977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225200000X 2155-19 WI Primary

Addresses

Primary practice location

7201 Green Bay Rd
Kenosha, WI 53142-3532

Mailing address

7201 Green Bay Rd
Kenosha, WI 53142-3532
Phone (262) 694-3977

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1245650837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 GREEN BAY RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423532",
            "telephone_number": "262-694-3977",
            "fax_number": "262-694-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 GREEN BAY RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423532",
            "telephone_number": "262-694-3977",
            "fax_number": "262-694-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS. ELLE HUCK, PTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "LETSOM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-694-3977",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2155-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.