NPIMap

Organization Active NPI

Mukwonago Ramily Rehabilitation Clinic, LLC

  • Occupational Therapist
  • Mukwonago, WI
National Provider Identifier
1457420648
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3746 Issued in WI
Legal business name
MUKWONAGO RAMILY REHABILITATION CLINIC, LLC
Practice address
727 County Road NN E
Mukwonago, WI 53149-1011
Phone
(262) 363-3014
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Rose L Hebar, PTNPI 1093823247
Title
Owner
Phone
(262) 363-3014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 3044 WI
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 3746 WI Primary

Addresses

Primary practice location

727 County Road NN E
Mukwonago, WI 53149-1011

Mailing address

PO Box 192
727 Hwy NN
Mukwonago, WI 53149-0192
Phone (262) 363-3014

National Provider Directory

National Provider Directory

Locations

727 Highway NN E
Mukwonago, WI 53149
Phone (262) 363-3014

Practitioners & affiliated clinicians

Practitioners 11

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1457420648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "address_2": "727 HWY NN",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531490192",
            "telephone_number": "262-363-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 COUNTY ROAD NN E",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491011",
            "telephone_number": "262-363-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKWONAGO RAMILY REHABILITATION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HEBAR",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-363-3014",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3044",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukwonago, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.