Endeavor Therapy LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

ENDEAVOR THERAPY LLC

Practice address

11649 N Port Washington Rd
Ste 109
Mequon, WI 53092-3460

Phone

(262) 241-8892

Fax

(262) 241-8894

NPI assigned

Aug 11, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Irene Block

Title

Administrator

Phone

(262) 241-8892

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1699777417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD",
            "address_2": "STE 109",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923460",
            "telephone_number": "262-241-8892",
            "fax_number": "262-241-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD",
            "address_2": "STE 109",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923460",
            "telephone_number": "262-241-8892",
            "fax_number": "262-241-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-241-8892",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40076000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drew M Elgin, M.D.
• Sara Ellefson, AUD
• Anna Maria Emmerich, PT
• Dana Elise Emold, MS, LPC, SAC
• Endeavor Testing Center LLC
• Sarah Armstrong Endrizzi, MD
• Dennis Walter Engel, DDS
• Ellie Engeldinger
• Christina Englebert, M.D.
• Enlight Health Company

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Mequon, WI
• Providers in Mequon, WI by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.