NPIMap

Organization Active NPI

Trans4M Physical Therapy & Fitness, LLC

  • Physical Therapist
  • Wisconsin Rapids, WI
National Provider Identifier
1508094400
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5855-024 Issued in WI
Legal business name
TRANS4M PHYSICAL THERAPY & FITNESS, LLC
Practice address
440 Chestnut St
Ste. 200
Wisconsin Rapids, WI 54494-4873
Phone
(715) 421-4800
Fax
(715) 421-4804
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Mrs. Lisa M Machotka, PT
Title
Physical Therapist Owner
Phone
(715) 421-6830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5855-024 WI Primary

Addresses

Primary practice location

440 Chestnut St
Ste. 200
Wisconsin Rapids, WI 54494-4873

Mailing address

440 Chestnut St
Ste. 200
Wisconsin Rapids, WI 54494-4873
Phone (715) 421-4800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1508094400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CHESTNUT ST",
            "address_2": "STE. 200",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944873",
            "telephone_number": "715-421-4800",
            "fax_number": "715-421-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CHESTNUT ST",
            "address_2": "STE. 200",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944873",
            "telephone_number": "715-421-4800",
            "fax_number": "715-421-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANS4M PHYSICAL THERAPY & FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "MACHOTKA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "715-421-6830",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5855-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.