Sports Physical Therapists of Cudahy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTS PHYSICAL THERAPISTS OF CUDAHY LLC

Practice address

3503 E Layton Ave
Ste 100
Cudahy, WI 53110-1408

Phone

(262) 925-5000

Fax

(262) 925-5001

NPI assigned

Mar 16, 2017

Organization subpart

No

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

Authorized official

Name

Carmelo Tenuta, PTNPI 1144267550

Title

President / Ceo

Phone

(262) 925-5000

Specialties & licenses 2

Addresses

Practitioners 1

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

• Carmelo D Tenuta, PT

  • Physical Therapist
  • Kenosha, WI
  • NPI 1144267550
  NPD (past) Authorized official

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1679014120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 30TH AVE STE C",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441957",
            "telephone_number": "262-925-5004",
            "fax_number": "262-925-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 E LAYTON AVE",
            "address_2": "STE 100",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101408",
            "telephone_number": "262-925-5000",
            "fax_number": "262-925-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PHYSICAL THERAPISTS OF CUDAHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "TENUTA",
        "authorized_official_first_name": "CARMELO",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "262-925-5000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Smetek, COTA
• Elizabeth Sobieski, PA-C
• Karen Sostarich
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• Tyson Spears Sr., MS, LPC
• Nicholas Stack, B.S. IN PHARMACY
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• Lynette Stefanec, RN BSN
• Rom A Stevens, M.D.
• Florin Stuleanu, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.