Organization Active NPI

Cole Rehab Enterprises LLC

Doing business as Innovative PT

  • Physical Therapist
  • Franklin, WI
National Provider Identifier
1790390102
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COLE REHAB ENTERPRISES LLC
Doing business as
Innovative PT
Practice address
8800 S 102ND St
Franklin, WI 53132-7712
Phone
(414) 448-3009
NPI assigned
Sep 11, 2020
Last updated
Jul 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Sharon E Cole, PTNPI 1336172212
Title
Owner
Phone
(414) 235-3660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

8800 S 102ND St
Franklin, WI 53132-7712

Mailing address

8800 S 102ND St
Franklin, WI 53132-7712
Phone (414) 235-3660

Other names 1

  • Innovative PT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210205000050 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517371313 Receives reassigned benefits from 3 practitioners
Practice locations: Franklin, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1790390102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 S 102ND ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531327712",
            "telephone_number": "414-235-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 S 102ND ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531327712",
            "telephone_number": "414-448-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE REHAB ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-235-3660",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innovative PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.