NPIMap

Organization Active NPI

Therapy at Home LLC

  • Geriatric Physical Therapist
  • Greendale, WI
National Provider Identifier
1477900561
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Legal business name
THERAPY AT HOME LLC
Practice address
7711 Freeland CT
Greendale, WI 53129
Phone
(414) 210-0088
NPI assigned
May 18, 2016
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Dr. Muddassir MohiuddinNPI 1588095277
Title
Physical Therapist
Phone
(414) 210-0088

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X Primary

Addresses

Primary practice location

7711 Freeland CT
Greendale, WI 53129

Mailing address

7711 Freeland CT
Greendale, WI 53129-1658
Phone (414) 210-0088

Other practice location 1

2840 S Linebarger Ter
Milwaukee, WI 53207-2541
Phone (773) 679-8321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160712001760 WI Part B Supplier - Clinic/Group Practice 0244522217 Receives reassigned benefits from 16 practitioners
Practice locations: Greendale, WI

National Provider Directory

National Provider Directory

Locations

307 W Layton Ave
Unit 2B
Milwaukee, WI 53207

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1477900561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 FREELAND CT",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291658",
            "telephone_number": "414-210-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 FREELAND CT",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "53129",
            "telephone_number": "414-210-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2840 S Linebarger Ter",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532072541",
            "country_code": "US",
            "telephone_number": "773-679-8321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPY AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "MOHIUDDIN",
        "authorized_official_first_name": "MUDDASSIR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "414-210-0088",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.