NPIMap

Organization Active NPI

Tri-Motion Rehab LLC

  • Physical Therapy Clinic/Center
  • Delafield, WI
National Provider Identifier
1487871430
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
10229-024 Issued in WI
Legal business name
TRI-MOTION REHAB LLC
Practice address
W307N1499 Golf Rd
Delafield, WI 53018-2129
Phone
(262) 754-1650
Fax
(262) 754-0877
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Emily Kolaga, PT, DPT, CSCS, CKTPNPI 1457324691
Title
Owner
Phone
(262) 754-1650

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
Physical Therapy Clinic/Center 261QP2000X 10229-024 WI Primary

Addresses

Primary practice location

W307N1499 Golf Rd
Delafield, WI 53018-2129

Mailing address

W307N1499 Golf Rd
Delafield, WI 53018-2129
Phone (262) 754-1650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070720000399 WI Part B Supplier - Clinic/Group Practice 3577664580 Receives reassigned benefits from 1 practitioner
Practice locations: Delafield, WI

National Provider Directory

National Provider Directory

Locations

W307N1499 Golf Rd
Delafield, WI 53018
Phone (262) 754-1650

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1487871430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W307N1499 GOLF RD",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182129",
            "telephone_number": "262-754-1650",
            "fax_number": "262-754-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W307N1499 GOLF RD",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182129",
            "telephone_number": "262-754-1650",
            "fax_number": "262-754-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-MOTION REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "KOLAGA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-754-1650",
        "authorized_official_credential": "PT, DPT, CSCS, CKTP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "10229-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delafield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.