Organization Active NPI

Adapt Physical Therapy & Fitness LLC

  • Physical Therapy Clinic/Center
  • Sparta, WI
National Provider Identifier
1497485791
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADAPT PHYSICAL THERAPY & FITNESS LLC
Practice address
2275 Riley Rd Ste 3
Sparta, WI 54656-1579
Phone
(715) 252-8520
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Jacob Robert Graboski, DPTNPI 1851030704
Title
Owner & Physical Therapist
Phone
(715) 252-8520

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 Primary

Addresses

Primary practice location

2275 Riley Rd Ste 3
Sparta, WI 54656-1579

Mailing address

810 Westwood Dr
Onalaska, WI 54650-2140
Phone (715) 252-8520

Other practice location 1

810 Westwood Dr
Onalaska, WI 54650-2140
Phone (715) 252-8520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220826001363 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082098926 Receives reassigned benefits from 2 practitioners
Practice locations: Sparta, WI

National Provider Directory

National Provider Directory

Locations

2275 Riley Rd
Ste 1
Sparta, WI 54656
Phone (608) 487-9990

2275 Riley Rd
Ste 3
Sparta, WI 54656
Phone (608) 304-6722

Practitioners & affiliated clinicians

Practitioners 2

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": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1497485791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 WESTWOOD DR",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502140",
            "telephone_number": "715-252-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 RILEY RD STE 3",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546561579",
            "telephone_number": "715-252-8520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Westwood Dr",
            "address_purpose": "LOCATION",
            "city": "Onalaska",
            "state": "WI",
            "postal_code": "546502140",
            "country_code": "US",
            "telephone_number": "715-252-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADAPT PHYSICAL THERAPY & FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "GRABOSKI",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER & PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "715-252-8520",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.