Organization Active NPI

John T. Dembowiak, LPT, S.C.

  • Physical Therapy Clinic/Center
  • Racine, WI
National Provider Identifier
1639472756
Registry record updated Dec 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1330-24 Issued in WI
Legal business name
JOHN T. DEMBOWIAK, LPT, S.C.
Practice address
5820 Washington Ave
Racine, WI 53406-4020
Phone
(262) 886-9887
NPI assigned
Dec 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2010

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

Authorized official

Name
John T Dembowiak, LPTNPI 1811085210
Title
Owner/Therapist
Phone
(262) 886-9887

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
Physical Therapy Clinic/Center 261QP2000X 1330-24 WI Primary

Addresses

Primary practice location

5820 Washington Ave
Racine, WI 53406-4020

Mailing address

PO Box 1664
Racine, WI 53401-1664
Phone (262) 886-9887

Other identifiers 1

IdentifierTypeStateIssuer
40131200MedicaidWI

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": "1292025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292025600000",
    "number": "1639472756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1664",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534011664",
            "telephone_number": "262-886-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064020",
            "telephone_number": "262-886-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T. DEMBOWIAK, LPT, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-11",
        "last_updated": "2010-12-11",
        "status": "A",
        "authorized_official_last_name": "DEMBOWIAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "262-886-9887",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "1330-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40131200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2010; 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.