NPIMap

Organization Active NPI

Fresh Start Physical Therapy LLC

  • Physical Therapist
  • Mequon, WI
National Provider Identifier
1447888136
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FRESH START PHYSICAL THERAPY LLC
Practice address
10412 N Baehr Rd
Mequon, WI 53092-4472
Phone
(262) 236-0176
Fax
(262) 236-0178
NPI assigned
Mar 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Charise Worthington
Title
Business Manager
Phone
(262) 236-0176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10412 N Baehr Rd
Mequon, WI 53092-4472

Mailing address

10412 N Baehr Rd
Mequon, WI 53092-4472
Phone (262) 236-0176

Other names 1

  • Health In Balance Physical Therapy, Fitness, & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200529002174 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9032530050 Receives reassigned benefits from 8 practitioners
Practice locations: Mequon, WI

National Provider Directory

National Provider Directory
Tax ID family
Fresh Start Physical Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7601 N Port Washington Rd
Glendale, WI 53217
Phone (262) 236-0176

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1447888136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 N BAEHR RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924472",
            "telephone_number": "262-236-0176",
            "fax_number": "262-236-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 N BAEHR RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924472",
            "telephone_number": "262-236-0176",
            "fax_number": "262-236-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "CHARISE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "262-236-0176"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health In Balance Physical Therapy, Fitness, & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.