Organization Active NPI

Tac II LLC

  • Physical Therapy Clinic/Center
  • Madison, WI
National Provider Identifier
1831080787
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TAC II LLC
Practice address
5202 Eastpark Blvd Ste 112
Madison, WI 53718-2151
Phone
(815) 341-5979
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Wanda White Nee, PTNPI 1245316843
Title
Owner
Phone
(815) 341-5979

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5202 Eastpark Blvd Ste 112
Madison, WI 53718-2151

Mailing address

5202 Eastpark Blvd Ste 112
Madison, WI 53718-2151
Phone (815) 341-5979

National Provider Directory

National Provider Directory

Locations

5202 Eastpark Blvd
Ste 112
Madison, WI 53718
Phone (815) 341-5979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1831080787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 EASTPARK BLVD STE 112",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182151",
            "telephone_number": "815-341-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 EASTPARK BLVD STE 112",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182151",
            "telephone_number": "815-341-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAC II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "WHITE NEE",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-341-5979",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.