Active NPI
Pain Therapy Specialists Inc
- Physical Therapist
- Germantown, WI
National Provider Identifier
1720009608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PAIN THERAPY SPECIALISTS INC
- Practice address
- W156N11072 Pilgrim Rd
Germantown, WI 53022-4247 - Phone
- (262) 251-0340
- Fax
- (414) 502-1384
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah K Loftus, PT
- Title
- Owner/President
- Phone
- (262) 251-0340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
W156N11072 Pilgrim Rd
Germantown, WI 53022-4247
Mailing address
W156N11072 Pilgrim Rd
Germantown, WI 53022-4247
Phone (262) 251-0340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40184200 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
W156N11072 Pilgrim Rd
Germantown, WI 53022
Phone (262) 251-0340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314835200000",
"number": "1720009608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W156N11072 PILGRIM RD",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530224247",
"telephone_number": "262-251-0340",
"fax_number": "262-502-1384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W156N11072 PILGRIM RD",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530224247",
"telephone_number": "262-251-0340",
"fax_number": "414-502-1384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN THERAPY SPECIALISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2011-09-01",
"status": "A",
"authorized_official_last_name": "LOFTUS",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "262-251-0340",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40184200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.