Active NPI
Vintage View Farm Inc
Doing business as Vintage View Therapy
- Preferred Provider Organization
- Mequon, WI
National Provider Identifier
1841694650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Legal business name
- VINTAGE VIEW FARM INC
- Doing business as
- Vintage View Therapy
- Practice address
- 7230 W Highland Rd
Mequon, WI 53092-1002 - Phone
- (262) 242-1110
- Fax
- (262) 236-9589
- NPI assigned
- Oct 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Wallow
- Title
- Managing Principal
- Phone
- (262) 242-1110
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Preferred Provider Organization | 305R00000X | WI | Primary |
Addresses
Primary practice location
7230 W Highland Rd
Mequon, WI 53092-1002
Mailing address
7230 W Highland Rd
Mequon, WI 53092-1002
Phone (262) 242-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100 | Other | WI | NA |
Other names 1
- Vintage View Therapy
National Provider Directory
National Provider DirectoryLocations
7230 W Highland Rd
Thiensville, WI 53092
Phone (262) 242-1110
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Mequon, WI
- NPI 1548659063
-
- Occupational Therapist
- Mequon, WI
- NPI 1831559830
-
- Specialist
- Thiensville, WI
- NPI 1982084026
-
- Occupational Therapist
- Madison, WI
- NPI 1740640747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449446400000",
"number": "1841694650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7230 W HIGHLAND RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530921002",
"telephone_number": "262-242-1110",
"fax_number": "262-236-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7230 W HIGHLAND RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530921002",
"telephone_number": "262-242-1110",
"fax_number": "262-236-9589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINTAGE VIEW FARM INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2015-12-07",
"status": "A",
"authorized_official_last_name": "WALLOW",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "MANAGING PRINCIPAL",
"authorized_official_telephone_number": "262-242-1110"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "0100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vintage View Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mequon, WI
- Julianne M Velazquez
- Rhonda Lynn Verdegan, PHD, LAT, ATC CSCS
- Nicole Georgann Viccari, MD
- Victoria Sepulveda, PHD, LLC
- Kelly Villa, CNM, NP, APNP
- Visionworks, Inc. (Visionworks)
- Visiting Nurse Association of Wisconsin, Inc (Aurora Visiting Nurse Association)
- Terry Jerome Voelske, PA-C
- Rachael A Vogel, DDS
- Wess R Vogt, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.