NPIMap

Organization Active NPI

Ampt Advanced Manual Physical Therapy Specialty PT Clinics, Inc.

Doing business as HEAL Physical Therapy

  • Physical Therapy Clinic/Center
  • Monona, WI
National Provider Identifier
1407977002
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5161-024 Issued in WI
Legal business name
AMPT ADVANCED MANUAL PHYSICAL THERAPY SPECIALTY PT CLINICS, INC.
Doing business as
HEAL Physical Therapy
Practice address
2000 Engel St Ste 102
Monona, WI 53713-4822
Phone
(608) 441-0032
Fax
(608) 441-0034
NPI assigned
Apr 2, 2007
Last updated
Oct 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Mr. Vincent Kabbaz, MMPT, FAAOMPT, COMTNPI 1205036415
Title
President, Physical Therapist
Phone
(608) 441-0032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5161-024 WI Primary
Physical Therapy Clinic/Center 261QP2000X 05004602A IN
Physical Therapy Clinic/Center 261QP2000X 070-014463 IL

Addresses

Primary practice location

2000 Engel St Ste 102
Monona, WI 53713-4822

Mailing address

5900 Monona Dr Ste 200
Monona, WI 53716-3561
Phone (608) 441-0032

Other names 1

  • HEAL Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2034 S Stoughton Rd
Madison, WI 53716
Phone (608) 441-0032

625 N Segoe Rd
Madison, WI 53705
Phone (608) 663-2678

Practitioners & affiliated clinicians

Practitioners 4

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1407977002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 200",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163561",
            "telephone_number": "608-441-0032",
            "fax_number": "608-441-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ENGEL ST STE 102",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537134822",
            "telephone_number": "608-441-0032",
            "fax_number": "608-441-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPT ADVANCED MANUAL PHYSICAL THERAPY SPECIALTY PT CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "KABBAZ",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "608-441-0032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MMPT, FAAOMPT, COMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "5161-024",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05004602A",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070-014463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEAL Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.