MJ Care Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1907-19 Issued in WI

Legal business name

MJ CARE INC.

Practice address

1505 Butts Ave
Tomah, WI 54660-2405

Phone

(608) 372-3241

Fax

(608) 372-3250

NPI assigned

Aug 31, 2012

Last updated

Aug 31, 2012By 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

Mrs. Christina Louise Donovan, P.T.A.

Title

Physical Therapist Assistant

Phone

(608) 343-5663

Specialties & licenses 1

Addresses

Tax ID family

Mjcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• MJ Care, Inc.

  • Skilled Nursing Facility
  • Milwaukee, WI
  • NPI 1366710949
  NPD tax ID
• Mjcare

  • Physical Disabilities Residential Treatment Facility
  • Iola, WI
  • NPI 1326437294
  NPD tax ID

Locations

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1346599727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST",
            "address_2": "SUITE 340",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272466",
            "telephone_number": "180-077-6701",
            "fax_number": "180-035-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 BUTTS AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602405",
            "telephone_number": "608-372-3241",
            "fax_number": "608-372-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "608-343-5663",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "1907-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Miller
• Colleen Kay Miller
• Laura J Miller, NP
• Iram Minus, D.O.
• Paul Mitchell, MSW
• Sanjay Jayanti Modhera, PHARMACIST
• Molter Family Pharmacy LLC (Molter's Pharmacy)
• Mark Molter
• Alison Marie Monson, APNP
• Sharon K Montalbano, MSW

• Physical Therapy Clinic/Center in Tomah, WI
• Providers in Tomah, 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 Aug 31, 2012; 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.