NPIMap

Organization Active NPI

Unified Therapy Services, Inc

  • Occupational Therapist
  • Fennimore, WI
National Provider Identifier
1639727035
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 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
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIFIED THERAPY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Sarah Adams
Title
Director
Phone
(563) 583-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

615 Roosevelt St
Fennimore, WI 53809-1130

Mailing address

4121 Pennsylvania Ave
Dubuque, IA 52002-2628
Phone (563) 588-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200302002618 WI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7618985714 Practice locations: Lancaster, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Unified Therapy Services Inc3 organizations share this tax ID, including this one
Part of
Unified Therapy Services Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1880 Radford Rd
Ste 4
Dubuque, IA 52002
Phone (563) 583-3408

217 E Bremer Ave
Waverly, IA 50677
Phone (319) 352-1234

615 Roosevelt St
Fennimore, WI 53809
Phone (563) 583-4003

9179 Old Potosi Rd
Lancaster, WI 53813
Phone (563) 583-4003

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1639727035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 PENNSYLVANIA AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022628",
            "telephone_number": "563-588-1127",
            "fax_number": "563-265-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ROOSEVELT ST",
            "city": "FENNIMORE",
            "state": "WI",
            "postal_code": "538091130",
            "telephone_number": "563-588-1127",
            "fax_number": "563-265-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED THERAPY SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIFIED THERAPY SERVICES, INC.",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "563-583-4003"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fennimore, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.