Weston Physical Therapy and Sports Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5964-024 Issued in WI

Legal business name

WESTON PHYSICAL THERAPY AND SPORTS REHAB, LLC

Practice address

4203 Schofield Ave
Suite 9
Weston, WI 54476-2708

Phone

(715) 241-9331

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Elroy David Koskey, PTNPI 1376600395

Title

Owner

Phone

(715) 241-9331

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elroy David Koskey, PT

  • Physical Therapist
  • Weston, WI
  • NPI 1376600395
  NPD (past) Authorized official
• Ryan T Lozon, MAPT

  • Physical Therapist
  • Schofield, WI
  • NPI 1720254634
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1669655296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 SCHOFIELD AVE",
            "address_2": "SUITE 9",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544762708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 SCHOFIELD AVE",
            "address_2": "SUITE 9",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544762708",
            "telephone_number": "715-241-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON PHYSICAL THERAPY AND SPORTS REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "KOSKEY",
        "authorized_official_first_name": "ELROY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-241-9331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5964-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Weizenicker, OT
• Andrew D Welles, DDS
• Kathryn Wesenberg, PT, DPT
• Ellen J Westdorp, M.D.
• Weston Family Dental SC
• Weston Smiles LLC
• Tasha R Whitcomb
• David White, DO
• Julie M White, DO
• Meghann White

• Physical Therapist in Weston, WI
• Providers in Weston, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.