NPIMap

Organization Active NPI

WSSH Sundance Rehab, LLC

  • Rehabilitation Clinic/Center
  • Fond Du Lac, WI
National Provider Identifier
1538092374
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
WSSH SUNDANCE REHAB, LLC
Practice address
597 Kingswood Ave
Fond Du Lac, WI 54935-6399
Phone
(323) 928-9445
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Avrohom Tress
Title
Executive Vice President
Phone
(323) 928-9445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

597 Kingswood Ave
Fond Du Lac, WI 54935-6399

Mailing address

9526 W Pico Blvd
Los Angeles, CA 90035-1202

National Provider Directory

National Provider Directory
Tax ID family
WSSH Sundance Rehab LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1538092374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 KINGSWOOD AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549356399",
            "telephone_number": "323-928-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSSH SUNDANCE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "TRESS",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "323-928-9445"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.