Active NPI
Stay Strong Therapies LLC
- Occupational Medicine Clinic/Center
- Brookfield, WI
National Provider Identifier
1548569692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- License
- 2435-26
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2435-26 | Other | OT LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Athletic Trainer
- Pewaukee, WI
- NPI 1013049402
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.