Fruition Therapy, LTD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

9598-024 Issued in WI

Legal business name

FRUITION THERAPY, LTD

Practice address

N8123 Rose Ter
Elkhorn, WI 53121-2474

Phone

(262) 723-2711

NPI assigned

May 31, 2005

Last updated

Oct 31, 2013By 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

Mrs. Carolyn A Gualdron, PTNPI 1275521643

Title

PT/President

Phone

(262) 725-1664

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healing Hands Physical Therapy and Massage, LTD Former legal business name

Locations

Practitioners 1

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.

• Carolyn A Gualdron, PT

  • Physical Therapist
  • Elkhorn, WI
  • NPI 1275521643
  NPD (past) Authorized official

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1861495145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8123 ROSE TER",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531212474",
            "telephone_number": "262-723-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N8123 ROSE TER",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531212474",
            "telephone_number": "262-723-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUITION THERAPY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "GUALDRON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PT/PRESIDENT",
        "authorized_official_telephone_number": "262-725-1664",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "9598-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40423500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Hands Physical Therapy and Massage, LTD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sean Patrick Fauls, MS, LPC
• Abdullah A Fayyad, MD
• Hayley Brooke Fine, RN
• Katherine Lynn Finnerty, DPT
• Christine Michelle Fisher
• Jessica Erin Furey, DO
• Rachel Leigh Gardetto, PMHNP-DNP
• Brenda L Garrett, APN
• Cynthia L Gasparino, LPN
• Holly Michelle Gifford, LPC-IT

• Physical Medicine & Rehabilitation Physician in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.