Unified Therapy Services, Inc
Organization Active NPI Occupational Therapist · Fennimore, WI
NPI 1639727035 · NPPES record last updated Aug 28, 2019
Key facts
- NPI
- 1639727035
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- UNIFIED THERAPY SERVICES, INC
- Practice address
- 615 Roosevelt St
Fennimore, WI 53809-1130 - Phone
- (563) 588-1127
- Fax
- (563) 265-5789
- NPI assigned
- Aug 28, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIFIED THERAPY SERVICES, INC.
Authorized official
- Name
- Sarah Adams
- Title
- Director
- Phone
- (563) 583-4003
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Practitioners 133
-
Kori Barry, APNP
-
Eli T. James, MD
-
Neil T Martin, MD
-
Alison E Ragatz, PA
-
Katherine C Reuter, APNP
-
Eric E Stader, MD
-
Joseph Stader, PA-C
-
Grace E Adam, PA-C
-
Michael Arnz, D.P.M.
-
Paula A. Aston, MD
-
Renu Bansal, MD
-
Mohammad A Bashir, M.B., B.S.
-
Susan K Beebout, MD
-
Kathy Ann Bell-Mahler, ARNP
-
Shawn R Brandenburg, D.O.
-
Zhengjin Cao, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200302002618 | WI | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 7618985714 | Practice locations: Lancaster, WI |
National Provider Directory
- Tax ID family
- Unified Therapy Services Inc
- Part of
- Unified Therapy Services Inc
Locations
1880 Radford Rd
Ste 4
Dubuque, IA 52002
Phone (563) 583-3408
615 Roosevelt St
Fennimore, WI 53809
Phone (563) 583-4003
9179 Old Potosi Rd
Lancaster, WI 53813
Phone (563) 583-4003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
615 Roosevelt St
Fennimore, WI 53809-1130
Mailing address
4121 Pennsylvania Ave
Dubuque, IA 52002-2628
Phone (563) 588-1127
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0665950 | Medicaid | IA |
Other providers in Fennimore, WI
- Bradley Ethan Robb
- Jennifer Schoepp
- Nicole Mirene Shepard
- Christine Swan
- The Evangelical Lutheran Good Samaritan Society
- Sally Walmer
- Macy Wanek
- Bridget Ann Wilson
- Heather R Wolf
All providers in Fennimore, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.