Organization Active NPI

Stay Strong Therapies LLC

  • Occupational Medicine Clinic/Center
  • Brookfield, WI
National Provider Identifier
1548569692
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
2435-26 Issued in WI
Legal business name
STAY STRONG THERAPIES LLC
Practice address
21140 W Capitol Dr
Suite 4
Brookfield, WI 53072-2953
Phone
(262) 754-1650
Fax
(262) 754-0877
NPI assigned
Mar 15, 2011
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Victoria Magnan, OTR
Title
Owner/President
Phone
(262) 367-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 2435-26 WI Primary

Addresses

Primary practice location

21140 W Capitol Dr
Suite 4
Brookfield, WI 53072-2953

Mailing address

21140 W Capitol Dr
Suite 4
Brookfield, WI 53072-2953
Phone (262) 754-1650

Other identifiers 1

IdentifierTypeStateIssuer
2435-26OtherOT LICENSE

National Provider Directory

National Provider Directory

Locations

21140 Capitol Dr
Ste 4
Brookfield, WI 53072
Phone (262) 754-1650

1190 Richards Rd
Ste 1
Hartland, WI 53029
Phone (262) 367-3700

Practitioners & affiliated clinicians

Practitioners 1

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": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1548569692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21140 W CAPITOL DR",
            "address_2": "SUITE 4",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530722953",
            "telephone_number": "262-754-1650",
            "fax_number": "262-754-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21140 W CAPITOL DR",
            "address_2": "SUITE 4",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530722953",
            "telephone_number": "262-754-1650",
            "fax_number": "262-754-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY STRONG THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "MAGNAN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "262-367-3700",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "WI",
            "license": "2435-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "2435-26",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.