NPIMap

Organization Active NPI

The Physical Therapy Center, SC

  • Physical Therapy Clinic/Center
  • Luck, WI
National Provider Identifier
1508037268
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THE PHYSICAL THERAPY CENTER, SC
Practice address
210 W Butternut
Luck, WI 54853-0561
Phone
(715) 472-8120
Fax
(715) 472-4047
NPI assigned
Mar 20, 2008
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Barbara Auge
Title
Office Manager
Phone
(715) 483-9221

Specialties & licenses 1

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

Addresses

Primary practice location

210 W Butternut
Luck, WI 54853-0561

Mailing address

PO Box 561
Luck, WI 54853-0561
Phone (715) 472-8120

Other identifiers 1

IdentifierTypeStateIssuer
40423600MedicaidWI

National Provider Directory

National Provider Directory

Locations

210 W Butternut Ave
Luck, WI 54853
Phone (715) 472-8120

Practitioners & affiliated clinicians

Practitioners 3

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1508037268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561",
            "city": "LUCK",
            "state": "WI",
            "postal_code": "548530561",
            "telephone_number": "715-472-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W BUTTERNUT",
            "city": "LUCK",
            "state": "WI",
            "postal_code": "548530561",
            "telephone_number": "715-472-8120",
            "fax_number": "715-472-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSICAL THERAPY CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "AUGE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-483-9221"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40423600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luck, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.