NPIMap

Organization Active NPI

Smart Clinic Limited Practice

Doing business as Smart Clinic Limited Partnership

  • Physical Therapist
  • Brookfield, WI
National Provider Identifier
1891711008
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SMART CLINIC LIMITED PRACTICE
Doing business as
Smart Clinic Limited Partnership
Practice address
13825 W Burleigh Rd
Brookfield, WI 53005
Phone
(262) 754-3450
Fax
(262) 754-3451
NPI assigned
Jul 14, 2006
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Mr. Michael A Thompson, LATNPI 1821217571
Title
Director
Phone
(262) 754-3446

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 Primary

Addresses

Primary practice location

13825 W Burleigh Rd
Brookfield, WI 53005

Mailing address

13825 W Burleigh Rd
Brookfield, WI 53005-3058
Phone (262) 754-3450

Other names 1

  • SMART CLINIC LIMITED PARTNERSHIP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401001221 WI Part B Supplier - Clinic/Group Practice 2264424977 Receives reassigned benefits from 4 practitioners
Practice locations: Mequon, WI; Glendale, WI; Brookfield, WI

National Provider Directory

National Provider Directory

Locations

13825 W Burleigh Rd
Brookfield, WI 53005
Phone (262) 754-3450

4100 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 754-3450

2001 W Good Hope Rd
Glendale, WI 53209
Phone (414) 228-8868

5750 N Glen Park Rd
Glendale, WI 53209
Phone (414) 351-8888

11616 N Port Washington Rd
Mequon, WI 53092
Phone (414) 839-8589

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1891711008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13825 W BURLEIGH RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053058",
            "telephone_number": "262-754-3450",
            "fax_number": "262-754-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13825 W BURLEIGH RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-754-3450",
            "fax_number": "262-754-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART CLINIC LIMITED PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-754-3446",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART CLINIC LIMITED PARTNERSHIP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.