NPIMap

Organization Active NPI

Midwest Pediatric Therapy LLC

  • Rehabilitation Clinic/Center
  • Lake Geneva, WI
National Provider Identifier
1649563115
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MIDWEST PEDIATRIC THERAPY LLC
Practice address
921 Park Dr
Suite a
Lake Geneva, WI 53147-4620
Phone
(262) 248-6855
Fax
(262) 248-6840
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Mrs. Laura-Lee Schwefel, MS OTR/LNPI 1720314610
Title
Owner
Phone
(262) 248-6855

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

921 Park Dr
Suite a
Lake Geneva, WI 53147-4620

Mailing address

921 Park Dr
Suite a
Lake Geneva, WI 53147-4620
Phone (262) 248-6855

National Provider Directory

National Provider Directory

Locations

921 Park Dr
Ste A
Lake Geneva, WI 53147
Phone (262) 248-6855

Practitioners & affiliated clinicians

Practitioners 2

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": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1649563115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 PARK DR",
            "address_2": "SUITE A",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474620",
            "telephone_number": "262-248-6855",
            "fax_number": "262-248-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 PARK DR",
            "address_2": "SUITE A",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474620",
            "telephone_number": "262-248-6855",
            "fax_number": "262-248-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "SCHWEFEL",
        "authorized_official_first_name": "LAURA-LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-248-6855",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.