Caledonia Physical Therapy, S.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5733-024 Issued in WI

Legal business name

CALEDONIA PHYSICAL THERAPY, S.C.

Practice address

5401 Douglas Ave
Racine, WI 53402-2034

Phone

(262) 681-8829

Fax

(262) 681-8830

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By 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

Timothy Lee Ulrich, PTNPI 1437232733

Title

President

Phone

(262) 939-4120

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Timothy Lee Ulrich, P.T.

  • Physical Therapist
  • Racine, WI
  • NPI 1437232733
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427103738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 CATHERINE DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534021604",
            "telephone_number": "262-939-4120",
            "fax_number": "262-681-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534022034",
            "telephone_number": "262-681-8829",
            "fax_number": "262-681-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEDONIA PHYSICAL THERAPY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-939-4120",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "5733-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C&Jmedicalllc
• Titania Cabell, RN
• Tammy Cadman, RDH
• Dora Ann Caldwell, MC
• Caledonia Chiropractic Clinic, SC
• Mary E. Callahan, N.P.
• Angelica Camacho, RDH
• Dana Cammilleri, LPC
• Steven William Campbell, D.D.S.
• Kathleen B Campeau, SAC-IT

• Physical Therapy Clinic/Center in Racine, WI
• Providers in Racine, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.