Organization Active NPI

Juniper Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Manitowoc, WI
National Provider Identifier
1346081163
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JUNIPER PHYSICAL THERAPY, LLC
Practice address
1011 S 10TH St Ste 104
Manitowoc, WI 54220-5209
Phone
(920) 320-9838
Fax
(920) 264-9665
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Elizabeth Wergin, DPTNPI 1518059302
Title
Owner & Physical Therapist
Phone
(920) 320-9838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1011 S 10TH St Ste 104
Manitowoc, WI 54220-5209

Mailing address

1011 S 10TH St Ste 104
Manitowoc, WI 54220-5209
Phone (920) 320-9838

Other names 1

  • Juniper Physical Therapy & Fitness Other name

National Provider Directory

National Provider Directory

Locations

1011 S 10th St
Ste 104
Manitowoc, WI 54220
Phone (920) 320-9838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1346081163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S 10TH ST STE 104",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205209",
            "telephone_number": "920-320-9838",
            "fax_number": "920-264-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S 10TH ST STE 104",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205209",
            "telephone_number": "920-320-9838",
            "fax_number": "920-264-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "WERGIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER & PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "920-320-9838",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juniper Physical Therapy & Fitness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.