NPIMap

Organization Active NPI

Midwest Physical Therapy

  • Skilled Nursing Facility
  • Spring Valley, WI
National Provider Identifier
1356631741
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0995 Issued in WI
Legal business name
MIDWEST PHYSICAL THERAPY
Practice address
S830 Westland Dr
Suite 103
Spring Valley, WI 54767-8238
Phone
(715) 778-5545
Fax
(715) 778-5575
NPI assigned
Apr 19, 2011
Last updated
Sep 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SPRING VALLEY HEALTH CARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Mr. Kevin H. Larson, CNHA
Title
Administrator/Chief Executive Offic
Phone
(715) 778-5545

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 12231-800 WI
Assisted Living Facility 310400000X 0013449 WI
Skilled Nursing Facility 314000000X 0995 WI Primary

Addresses

Primary practice location

S830 Westland Dr
Suite 103
Spring Valley, WI 54767-8238

Mailing address

S830 Westland Dr
Spring Valley, WI 54767-8238
Phone (715) 778-5545

National Provider Directory

National Provider Directory
Tax ID family
Spring Valley Health Care Services Inc2 organizations share this tax ID, including this one
Part of
Spring Valley Health Care Services Inc

Other organizations with this tax ID 1

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

Locations

S830 Westland Dr
Ste 103
Spring Valley, WI 54767
Phone (715) 778-5545

Practitioners & affiliated clinicians

Practitioners 2

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": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1356631741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S830 WESTLAND DR",
            "city": "SPRING VALLEY",
            "state": "WI",
            "postal_code": "547678238",
            "telephone_number": "715-778-5545",
            "fax_number": "715-778-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S830 WESTLAND DR",
            "address_2": "SUITE 103",
            "city": "SPRING VALLEY",
            "state": "WI",
            "postal_code": "547678238",
            "telephone_number": "715-778-5545",
            "fax_number": "715-778-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRING VALLEY HEALTH CARE SERVICES, INC.",
        "enumeration_date": "2011-04-19",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADMINISTRATOR/CHIEF EXECUTIVE OFFIC",
        "authorized_official_telephone_number": "715-778-5545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNHA"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WI",
            "license": "12231-800",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0013449",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "0995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.