Organization Active NPI

Pain Therapy Specialists Inc

  • Physical Therapist
  • Germantown, WI
National Provider Identifier
1720009608
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Sep 1, 2011

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
40184200MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.