Column Rehab Services, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COLUMN REHAB SERVICES, INC.

Practice address

15350 W National Ave Ste 102-219
New Berlin, WI 53151-5158

Phone

(262) 227-8541

NPI assigned

Jan 3, 2007

Last updated

Jun 29, 2023By 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

David Anthony GillisNPI 1487867321

Title

President

Phone

(262) 227-8541

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

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.

• David Anthony Gillis, PT

  • Physical Therapist
  • New Berlin, WI
  • NPI 1487867321
  Medicare reassignment Authorized official
• Michaela Chapa

  • Occupational Therapist
  • New Berlin, WI
  • NPI 1306689732
  Medicare reassignment
• Rebecca Ann Antonicci, OTR

  • Occupational Therapist
  • New Berlin, WI
  • NPI 1871376525
  NPD

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1639226756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 W NATIONAL AVE STE 102",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515158",
            "telephone_number": "262-227-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 W NATIONAL AVE STE 102-219",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515158",
            "telephone_number": "262-227-8541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9455 W Watertown Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263559",
            "country_code": "US",
            "telephone_number": "262-227-8541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMN REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-227-8541"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41227400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of New Berlin
• Melissa Anne Clifford, MPT
• Cynthia Clough, OTR
• Kathryn Rae Cohen, MD
• Cassandra Coleman, BSN, RN
• Community Memorial Hospital of Menomonee Falls Inc (Froedtert & MCW Moorland Reserve Health Center Pharmacy)
• Eileen Compty, DPT
• Concentra Health Services, Inc.
• Jeanne E Conner, APNP
• Douglas Robert Conners, MD

• Physical Therapist in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.