Living Well Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIVING WELL PHYSICAL THERAPY, LLC

Practice address

159 E Silver Spring Dr
Whitefish Bay, WI 53217-4703

Phone

(262) 770-5025

NPI assigned

May 4, 2022

Last updated

Jul 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Lynn Patek, DPT

Title

Owner/Provider

Phone

(414) 312-3180

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anne Therese Lehman, PT

  • Physical Therapist
  • Greenfield, WI
  • NPI 1598703472
  Medicare reassignment NPD
• Stephanie Galstad Patek, DPT

  • Physical Therapist
  • Brookfield, WI
  • NPI 1295255859
  Medicare reassignment NPD
• Ashley Martin-Metcalf, PT, DPT

  • Physical Therapist
  • West Allis, WI
  • NPI 1881385052
  NPD

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1740925635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 N SHEFFIELD AVE",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532111106",
            "telephone_number": "414-312-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E SILVER SPRING DR",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532174703",
            "telephone_number": "262-770-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11217 W Forest Home Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531321272",
            "country_code": "US",
            "telephone_number": "262-770-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVING WELL PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "PATEK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "414-312-3180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kunkel
• Gordon Edward Lang, MD
• Sukeun Lee
• Dante Lehman, PHARMD
• Elissa Lenkin, CD(DONA), CLC
• Lmbpt LLC (Pelvic Health and Wellness)
• Longevity Community Services Inc
• Longevity Holistic Wellness LLC
• Lorraine Pagel, DDS SC
• Heather Lukach, LICSW

• Physical Therapist in Whitefish Bay, WI
• Providers in Whitefish Bay, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.