NPIMap

Organization Active NPI

Rehabilitation Institute of Wisconsin, Inc.

  • Rehabilitation Clinic/Center
  • Brookfield, WI
National Provider Identifier
1477750255
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHABILITATION INSTITUTE OF WISCONSIN, INC.
Practice address
275 Regency CT
Suite 200
Brookfield, WI 53045-6168
Phone
(262) 798-9650
NPI assigned
Jun 27, 2007
Last updated
Jan 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Laurie StellickNPI 1780830398
Title
Otr-Owner
Phone
(262) 798-9650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

275 Regency CT
Suite 200
Brookfield, WI 53045-6168

Mailing address

PO Box 611
275 Regency Court, Suite 200
Brookfield, WI 53008-0611

National Provider Directory

National Provider Directory

Locations

275 Regency Ct
Ste 200
Brookfield, WI 53045
Phone (262) 798-9650

6290 N Port Washington Rd
Glendale, WI 53217
Phone (262) 798-9650

Practitioners & affiliated clinicians

Practitioners 7

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1477750255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "address_2": "275 REGENCY COURT, SUITE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530080611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 REGENCY CT",
            "address_2": "SUITE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456168",
            "telephone_number": "262-798-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION INSTITUTE OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "STELLICK",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OTR-OWNER",
        "authorized_official_telephone_number": "262-798-9650"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.