NPIMap

Organization Active NPI

Cultivate Your Wellbeing

  • Physical Therapy Clinic/Center
  • Mequon, WI
National Provider Identifier
1497525133
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CULTIVATE YOUR WELLBEING
Practice address
1001 W Glen Oaks LN Ste 112
Mequon, WI 53092-3365
Phone
(262) 417-1241
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Kathleen Marie Tredo, DPT
Title
Physical Therapist/Owner
Phone
(410) 206-2887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1001 W Glen Oaks LN Ste 112
Mequon, WI 53092-3365

Mailing address

1001 W Glen Oaks LN Ste 112
Mequon, WI 53092-3365
Phone (262) 417-1241

National Provider Directory

National Provider Directory

Locations

1001 W Glen Oaks Ln
Ste 112
Mequon, WI 53092
Phone (262) 417-1241

Practitioners & affiliated clinicians

Practitioners 2

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": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1497525133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W GLEN OAKS LN STE 112",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923365",
            "telephone_number": "262-417-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W GLEN OAKS LN STE 112",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923365",
            "telephone_number": "262-417-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE YOUR WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "TREDO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "410-206-2887",
        "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 Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.