Lake Area Physical Medicine and Rehabilitation, SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LAKE AREA PHYSICAL MEDICINE AND REHABILITATION, SC

Practice address

725 American Ave
Waukesha, WI 53188-5031

Phone

(262) 928-2719

Fax

(262) 928-7747

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Alka Kohli, MDNPI 1063405728

Title

President

Phone

(262) 928-2719

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alka Kohli, MD

  • Physical Medicine & Rehabilitation Physician
  • Decatur, GA
  • NPI 1063405728
  NPD (past) Authorized official
• Robert L Zoeller, MD

  • Physical Medicine & Rehabilitation Physician
  • Pewaukee, WI
  • NPI 1235176132
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1508803404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885031",
            "telephone_number": "262-928-2719",
            "fax_number": "262-928-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885031",
            "telephone_number": "262-928-2719",
            "fax_number": "262-928-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA PHYSICAL MEDICINE AND REHABILITATION, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "ALKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-928-2719",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21293100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Labuy
• Rebecca A Lachowin
• Amy Laedtke, SAC-IT
• Michael S. Lafratta, D.D.S.
• Kenneth Alan Lahrman, D.O.
• Lake Country Eye Surgery Center, LLC
• Lake Country Pathologists SC
• Lake Country Plastic and Hand Surgery SC
• Roger A Lalich, DO
• Ann Lamberg

• Physical Medicine & Rehabilitation Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.