Active NPI
Ms. Elle Huck, Pta
- Physical Therapy Assistant
- Kenosha, WI
National Provider Identifier
1245650837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2155-19
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 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 DirectoryNPI 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.