Invivo Wellness Restoration, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4778-024 Issued in WI

Legal business name

INVIVO WELLNESS RESTORATION, LLC

Practice address

2060 N Humboldt Blvd
Suite 300
Milwaukee, WI 53212-3504

Phone

(414) 265-5606

Fax

(414) 265-5649

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Ann Marie Hessil

Title

PT/Co-Owner

Phone

(414) 265-5606

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maurice Dumit, MPT

  • Orthopedic Physical Therapist
  • Milwaukee, WI
  • NPI 1619910759
  Medicare reassignment
• Anna Grassman, DPT

  • Physical Therapist
  • Glendale, WI
  • NPI 1285239731
  Medicare reassignment
• Kurt Patrick Huemmer, D.C.

  • Chiropractor
  • Milwaukee, WI
  • NPI 1659302867
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1427061027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 N HUMBOLDT BLVD",
            "address_2": "SUITE 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123504",
            "telephone_number": "414-265-5606",
            "fax_number": "414-265-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 N HUMBOLDT BLVD",
            "address_2": "SUITE 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123504",
            "telephone_number": "414-265-5606",
            "fax_number": "414-265-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVIVO WELLNESS RESTORATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "HESSIL",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PT/CO-OWNER",
        "authorized_official_telephone_number": "414-265-5606"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "4778-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Franklin Iossi, MD
• Ren M Iossi
• Casey Michelle Ippen, MD

• Specialist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.