Organization Active NPI

Spinal Dynamics of Wisconsin, SC

  • Physical Therapy Clinic/Center
  • Wauwatosa, WI
National Provider Identifier
1598709784
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPINAL DYNAMICS OF WISCONSIN, SC
Practice address
3333 N Mayfair Rd
Suite 101
Wauwatosa, WI 53222-3219
Phone
(414) 302-0770
Fax
(414) 302-0775
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Cindy L Marti, PT
Title
President Owner
Phone
(414) 302-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3333 N Mayfair Rd
Suite 101
Wauwatosa, WI 53222-3219

Mailing address

3333 N Mayfair Rd
Suite 101
Wauwatosa, WI 53222-3219
Phone (414) 302-0770

Other names 1

  • Body Dynamics of Wisconsin Doing business as

National Provider Directory

National Provider Directory

Locations

2300 N Mayfair Rd
#555
Wauwatosa, WI 53226
Phone (414) 302-0770

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1598709784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N MAYFAIR RD",
            "address_2": "SUITE 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223219",
            "telephone_number": "414-302-0770",
            "fax_number": "414-302-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N MAYFAIR RD",
            "address_2": "SUITE 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223219",
            "telephone_number": "414-302-0770",
            "fax_number": "414-302-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL DYNAMICS OF WISCONSIN, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "MARTI",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "414-302-0770",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Dynamics of Wisconsin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.