Midwest Therapeutic Equestrian Health Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MIDWEST THERAPEUTIC EQUESTRIAN HEALTH CENTER

Practice address

1117 N Britton Rd
Union Grove, WI 53182-9305

Phone

(262) 878-2000

Fax

(262) 878-2000

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Stephanie Kubarth, OTR/L

Title

Director

Phone

(262) 878-2000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1891961702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 085184",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534085184",
            "telephone_number": "262-878-2000",
            "fax_number": "262-878-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N BRITTON RD",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531829305",
            "telephone_number": "262-878-2000",
            "fax_number": "262-878-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST THERAPEUTIC EQUESTRIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "KUBARTH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-878-2000",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41219700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geraldine Ilene Linden, LPN
• Anthony R Matoska, DPT
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• William I Melby, D.C.
• Carol Ann Millington
• Milwaukee Vamc
• Kayla Ann Mishleau
• Jennifer Lynn Moreno, MSW
• Erica Morgan, RDN

• All providers in Union Grove, WI
• Developmentally Disabled Services Day Training Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.