NPIMap

Organization Active NPI

Injury Rehabilitation Clinic II, Inc.

  • Occupational Therapist
  • Brookfield, WI
National Provider Identifier
1376648220
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
INJURY REHABILITATION CLINIC II, INC.
Practice address
3415 N 127TH St
Brookfield, WI 53005-3117
Phone
(262) 781-8144
Fax
(262) 781-8552
NPI assigned
Sep 14, 2006
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Mrs. Mary Beth Patton, OTRNPI 1023145596
Title
President, Otr
Phone
(262) 781-8144

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

3415 N 127TH St
Brookfield, WI 53005-3117

Mailing address

3415 N 127TH St
Brookfield, WI 53005-3117
Phone (262) 781-8144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060404000495 WI Part B Supplier - Clinic/Group Practice 3072412352 Receives reassigned benefits from 5 practitioners
Practice locations: Brookfield, WI

National Provider Directory

National Provider Directory

Locations

3415 N 127th St
Brookfield, WI 53005
Phone (262) 781-8144

3415 N 127th St
Ste 4
Brookfield, WI 53005
Phone (262) 781-8144

2242 W Bluemound Rd
Waukesha, WI 53186

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1376648220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 N 127TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053117",
            "telephone_number": "262-781-8144",
            "fax_number": "262-781-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 N 127TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053117",
            "telephone_number": "262-781-8144",
            "fax_number": "262-781-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY REHABILITATION CLINIC II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT, OTR",
        "authorized_official_telephone_number": "262-781-8144",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.