Milwaukee Sports Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MILWAUKEE SPORTS THERAPY

Practice address

3111 W Rawson Ave
Suite 215
Franklin, WI 53132-8890

Phone

(414) 325-4330

NPI assigned

Feb 23, 2015

Organization subpart

Yes

Parent organization

ORTHOPEDIC SURGEONS OF WISCONSIN SCAs reported in NPPES

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

Authorized official

Name

Janis P Kluck

Title

Business Manager

Phone

(414) 643-4027

Specialties & licenses 1

Addresses

Part of

Orthopedic Surgeions W

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1871985226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N MAYFAIR RD",
            "address_2": "SUITE 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261506",
            "telephone_number": "414-384-6700",
            "fax_number": "414-727-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W RAWSON AVE",
            "address_2": "SUITE 215",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328890",
            "telephone_number": "414-325-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE SPORTS THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC SURGEONS OF WISCONSIN SC",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "KLUCK",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "414-643-4027"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Orthopedic Specialty Hospital, LLC
• Andrea Agnes Miklosi, PA-C
• Douglas Milosavljevic, M.D.
• Milwaukee Clinic of Ortho Surgery, LTD.
• Milwaukee Eye Care Associates S.C.
• Milwaukee Surgical Specialists SC
• Milwaukee Surgical Suites, LLC
• Milwaukee Surgicenter LLC
• Milwaukee Surgicenter LLC
• Milwaukee Urology Specialist

• All providers in Franklin, WI
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.