Genoa City Fyzical, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GENOA CITY FYZICAL, LLC

Practice address

112 Elizabeth LN Unit C
Genoa City, WI 53128-2120

Phone

(262) 279-2800

Fax

(262) 295-8799

NPI assigned

Nov 11, 2018

Last updated

Nov 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Batson, DPTNPI 1558376970

Title

Owner

Phone

(262) 279-2800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Nicholas A Batson, PT, DPT

  • Physical Therapist
  • Genoa City, WI
  • NPI 1558376970
  NPD (past) Authorized official
• Michael J Hennigan, PTA

  • Physical Therapy Assistant
  • Genoa City, WI
  • NPI 1316503915
  NPD (past)

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541894400000",
    "number": "1588132260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 ROCKY BRANCH RD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373771338",
            "telephone_number": "847-254-1708",
            "fax_number": "423-269-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ELIZABETH LN UNIT C",
            "city": "GENOA CITY",
            "state": "WI",
            "postal_code": "531282120",
            "telephone_number": "262-279-2800",
            "fax_number": "262-295-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOA CITY FYZICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-11",
        "last_updated": "2018-11-11",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-279-2800",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Joseph Dietz Jr., MD
• Sharon Lee Ehrlich, LPN
• Jennifer Ann Frisby
• Lucia G Garrity, R.N.
• Geneva Surgical Suites, LLC
• Genoa City Physical Therapy
• Michael J Hennigan, PTA
• Implantologie LLC
• Jason Kirkham, DC
• Cynthia Rae Klabunde, R.N, B.S.N

• Physical Therapy Clinic/Center in Genoa City, WI
• Providers in Genoa City, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2018; 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.