NPIMap

Organization Active NPI

Wisconsin Orthopedic Rehabilitation Consultants, Inc.

Doing business as Fyzical Therapy & Balance Centers

  • Physical Therapist
  • Thiensville, WI
National Provider Identifier
1255544862
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1601 Issued in WI
Legal business name
WISCONSIN ORTHOPEDIC REHABILITATION CONSULTANTS, INC.
Doing business as
Fyzical Therapy & Balance Centers
Practice address
136 N Main St Ste 308
Thiensville, WI 53092-1606
Phone
(262) 478-0920
Fax
(262) 478-0921
NPI assigned
May 8, 2007
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Ms. Donna Skwierawski, MHSA
Title
Manager
Phone
(262) 376-9130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1601 WI Primary

Addresses

Primary practice location

136 N Main St Ste 308
Thiensville, WI 53092-1606

Mailing address

136 N Main St Ste 304
Thiensville, WI 53092-1606
Phone (262) 376-9130

Other identifiers 1

IdentifierTypeStateIssuer
40169700MedicaidWI

Other names 1

  • Fyzical Therapy & Balance Centers Doing business as

National Provider Directory

National Provider Directory

Locations

5150 N Port Washington Rd
Ste 130
Glendale, WI 53217
Phone (414) 332-0707

136 N Main St
Ste 308
Thiensville, WI 53092
Phone (262) 478-0920

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1255544862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST STE 304",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921606",
            "telephone_number": "262-376-9130",
            "fax_number": "262-377-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST STE 308",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921606",
            "telephone_number": "262-478-0920",
            "fax_number": "262-478-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN ORTHOPEDIC REHABILITATION CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "SKWIERAWSKI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-376-9130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40169700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thiensville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.