Summit Wellness, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10271-24 Issued in WI

Legal business name

SUMMIT WELLNESS, INC.

Practice address

301 E Reservoir Ave Ste 1
Milwaukee, WI 53212-3743

Phone

(414) 350-6064

NPI assigned

Jul 25, 2018

Organization subpart

No

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

Authorized official

Name

Anthony Langtimm

Title

President

Phone

(414) 350-6064

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ryan M Garman, M.P.T.

  • Physical Therapist
  • Milwaukee, WI
  • NPI 1518013630
  NPD

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1861979445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 N LYDELL AVE",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E RESERVOIR AVE STE 1",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123743",
            "telephone_number": "414-350-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "LANGTIMM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-350-6064"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "10271-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sumlin-Gray
• James Kinta Summerall
• Kathleen Jeaneen Summers, DNP, APNP, AGNP-C
• Rose Alina Summers, LPC
• Summit Rehabilitation SC
• Devin Sun
• Karina Sundar
• Sakthi Kumar Sundararajan, M.D.
• Jeneva Sunday, BSN
• Glenda Sue Sundberg, FNP

• Physical Therapy Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.