Organization Active NPI

Team Rehab, Inc.

  • Rehabilitation Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1467443127
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
TEAM REHAB, INC.
Practice address
9450 N 107TH St
Milwaukee, WI 53224-1106
Phone
(414) 355-7157
Fax
(414) 355-7935
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen A Masse'
Title
Cfo
Phone
(414) 355-7157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X WI Primary

Addresses

Primary practice location

9450 N 107TH St
Milwaukee, WI 53224-1106

Mailing address

9450 N 107TH St
Milwaukee, WI 53224-1106
Phone (414) 355-7157

Other identifiers 3

IdentifierTypeStateIssuer
555715OtherWIDEAN HEALTH PLAN
41812700MedicaidWI
111002OtherWIHEALTH PARTNERS

National Provider Directory

National Provider Directory
Tax ID family
Team Rehab Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467443127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 N 107TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532241106",
            "telephone_number": "414-355-7157",
            "fax_number": "414-355-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 N 107TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532241106",
            "telephone_number": "414-355-7157",
            "fax_number": "414-355-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASSE'",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-355-7157",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "555715",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41812700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "111002",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • 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.