Active NPI
Align Therapy,LLC
- Physical Therapy Clinic/Center
- Hayward, WI
National Provider Identifier
1891921334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 3564024
- Legal business name
- ALIGN THERAPY,LLC
- Practice address
- 10767 Nyman Avenue
Hayward, WI 54843 - Phone
- (715) 638-2244
- Fax
- (715) 638-2368
- NPI assigned
- Jun 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pamela L. Weber, P.T.
- Title
- Owner/Therapist
- Phone
- (715) 638-2244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 3564024 | WI | Primary |
Addresses
Primary practice location
10767 Nyman Avenue
Hayward, WI 54843
Mailing address
10767 Nyman Avenue
Hayward, WI 54843
Phone (715) 638-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40378000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293667200000",
"number": "1891921334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10767 NYMAN AVENUE",
"city": "HAYWARD",
"state": "WI",
"postal_code": "54843",
"telephone_number": "715-638-2244",
"fax_number": "715-638-2368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10767 NYMAN AVENUE",
"city": "HAYWARD",
"state": "WI",
"postal_code": "54843",
"telephone_number": "715-638-2244",
"fax_number": "715-638-2368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIGN THERAPY,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-10",
"last_updated": "2010-12-30",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "715-638-2244",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "WI",
"license": "3564024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40378000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.