Organization Active NPI

Align Therapy,LLC

  • Physical Therapy Clinic/Center
  • Hayward, WI
National Provider Identifier
1891921334
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3564024 Issued in WI
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

Updated by the provider on Dec 30, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
40378000MedicaidWI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.