Ultimate Performance Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6515-24 Issued in WI

Legal business name

ULTIMATE PERFORMANCE THERAPY, LLC

Practice address

403 Venture CT, Suite 2
Verona, WI 53593

Phone

(608) 333-8504

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bradley James Rupnow, PT, DPT, LAT

Title

Doctor of Physical Therapy - Member

Phone

(608) 333-8504

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1730451162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 VENTURE CT, SUITE 2",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "53593",
            "telephone_number": "608-333-8504",
            "fax_number": "608-338-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 VENTURE CT, SUITE 2",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "53593",
            "telephone_number": "608-333-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PERFORMANCE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "RUPNOW",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY - MEMBER",
        "authorized_official_telephone_number": "608-333-8504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, LAT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6515-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40349800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin D Traun, MD
• Laurie J Triller, MA CCC-SLP
• Cassidey Marie Trimberger
• Natalina Tunzi
• William D Turnipseed, MD
• University of Wisconsin Medical Foundation Inc
• Unwin Chiropractic & Wellness Center, S.C.
• Jill G Unwin, D.C.
• Tyler Vanden Boogard, DPT
• Vaxpro LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.