Pro Step Physical Therapy LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PRO STEP PHYSICAL THERAPY LLC

Practice address

10233 W Greenfield Ave
Milwaukee, WI 53214-3911

Phone

(414) 791-0813

Fax

(262) 364-2248

NPI assigned

Oct 3, 2006

Last updated

May 22, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

THERAPY PLUS OF WISCONSINAs reported in NPPES

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

Authorized official

Name

Mr. Robert F Frediani

Title

Member

Phone

(414) 791-0813

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Therapy Plus of Wisconsin LLC Other name

Part of

Therapy Plus of Wisconsin LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Therapy Plus of Wisconsin LLC

  dba Therapy Plus

  • Rehabilitation Clinic/Center
  • Oak Creek, WI
  • NPI 1306863220
  NPPES parent name

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.

• Edward R Neisner, MPT

  • Physical Therapist
  • Germantown, WI
  • NPI 1518980036
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1891889093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 S. HOWELL AVENUE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "53154",
            "telephone_number": "414-856-1888",
            "fax_number": "414-856-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10233 W GREENFIELD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143911",
            "telephone_number": "414-791-0813",
            "fax_number": "262-364-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO STEP PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPY PLUS OF WISCONSIN",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "FREDIANI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "414-791-0813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40602700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "9560-024",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRO STEP NPIN NUMBER",
            "identifier": "1891889093",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40541400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36102100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40440600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41044000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Plus of Wisconsin LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Elizabeth Procknow Gabriel, PA
• Lester T Proctor, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.