NPIMap

Organization Active NPI

Alta Soma Physical Therapy

  • Physical Therapist
  • Hartland, WI
National Provider Identifier
1881714749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2334-024 Issued in WI
Legal business name
ALTA SOMA PHYSICAL THERAPY
Practice address
560 S Industrial Dr
Hartland, WI 53029-2324
Phone
(262) 369-7941
NPI assigned
Apr 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul AblerNPI 1235281254
Title
Owner
Phone
(262) 369-7941

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2334-024 WI Primary

Addresses

Primary practice location

560 S Industrial Dr
Hartland, WI 53029-2324

Mailing address

36752 Lower Lake Rd
Oconomowoc, WI 53066-9447
Phone (262) 369-7941

National Provider Directory

National Provider Directory

Locations

560 S Industrial Dr
Hartland, WI 53029
Phone (262) 369-7941

Practitioners & affiliated clinicians

Practitioners 5

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": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881714749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36752 LOWER LAKE RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530669447",
            "telephone_number": "262-369-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S INDUSTRIAL DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292324",
            "telephone_number": "262-369-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA SOMA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-369-7941"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2334-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.