PWR Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PWR PHYSICAL THERAPY LLC

Practice address

112A Main St W
Ashland, WI 54806-1636

Phone

(715) 204-4170

NPI assigned

Jun 12, 2024

Last updated

Jun 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill Gibbon, PT, DPT

Title

Owner

Phone

(715) 204-4170

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1265274849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAPLE RDG",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548062564",
            "telephone_number": "715-204-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112A MAIN ST W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061636",
            "telephone_number": "715-204-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PWR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "GIBBON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-204-4170",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Peterson
• Kammi L Phillips
• Hannah Powers, PT, DPT
• Sandra J. Principe, SAC, PS
• Sarah Jean Pully, COTA
• Lindsey M Randolph, R.N.
• Dean W. Rau, MD
• Courtney Rauschenbach, APSW
• Brittany Leigh Redden
• Regional Hospice Services,Inc.

• Physical Therapy Clinic/Center in Ashland, WI
• Providers in Ashland, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.