Anatomy Shop Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ANATOMY SHOP PHYSICAL THERAPY, LLC

Practice address

111 Atkinson St Unit 2
Mukwonago, WI 53149-1439

Phone

(262) 363-3268

Fax

(262) 363-3269

NPI assigned

Oct 12, 2006

Last updated

Jun 21, 2013By 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

Joan Zachow, PTNPI 1598854721

Title

Owner

Phone

(262) 363-3268

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Joan E Zachow, PT

  • Physical Therapist
  • Mukwonago, WI
  • NPI 1598854721
  NPD (past) Authorized official
• Jennifer Maikowski, PT

  • Physical Therapist
  • Greendale, WI
  • NPI 1972604445
  NPD (past)
• Joan Maria Stevenson, OTR

  • Occupational Therapist
  • Mukwonago, WI
  • NPI 1659667087
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1386733517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ATKINSON ST UNIT 2",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491439",
            "telephone_number": "262-363-3268",
            "fax_number": "262-363-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ATKINSON ST UNIT 2",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491439",
            "telephone_number": "262-363-3268",
            "fax_number": "262-363-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANATOMY SHOP PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "ZACHOW",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-363-3268",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40425200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adl Corporation (ADL Supportive Home Care)
• Cary Anne Adriano, RN, BSN, CPAN
• Advance Dental Management (Oakwood Dental)
• Muhammad Erfan Ahmad, M.D.
• Joshua Amelunk
• Dorothea M Anich, OTR
• Tracy Lyn Anonich, R.PH
• Joanne Antonopoulos, PHARM.D.
• Clare Aoys, R.N.
• Lura M. Asby, PSY.D

• Physical Therapist in Mukwonago, WI
• Providers in Mukwonago, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.