NPIMap

Organization Active NPI

Visiting Physical Therapists, LLC

  • Specialist
  • Cudahy, WI
National Provider Identifier
1639408396
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5058 Issued in WI
Legal business name
VISITING PHYSICAL THERAPISTS, LLC
Practice address
6072 S Meadow CT
Cudahy, WI 53110-3410
Phone
(414) 940-7278
Fax
(414) 769-1808
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Mr. Philip William Bergold, PTNPI 1629073135
Title
Owner
Phone
(414) 940-7278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5058 WI Primary

Addresses

Primary practice location

6072 S Meadow CT
Cudahy, WI 53110-3410

Mailing address

PO Box 371031
Milwaukee, WI 53237-2131
Phone (414) 940-7278

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1639408396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371031",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532372131",
            "telephone_number": "414-940-7278",
            "fax_number": "414-769-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6072 S MEADOW CT",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103410",
            "telephone_number": "414-940-7278",
            "fax_number": "414-769-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING PHYSICAL THERAPISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "BERGOLD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-940-7278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "5058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cudahy, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.