Wisconsin Spinal Rehabilitation Center, S.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3022 Issued in WI

Legal business name

WISCONSIN SPINAL REHABILITATION CENTER, S.C.

Practice address

21180 W Capitol Dr
Brookfield, WI 53072-2915

Phone

(262) 695-1870

Fax

(262) 695-1872

NPI assigned

Nov 11, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Vasquez

Title

Office Manager

Phone

(262) 695-1870

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katharine Renee Anderson

  • Chiropractor
  • Lake Geneva, WI
  • NPI 1093526410
  NPD
• Katelyn Ann Dawson, D.C.

  • Chiropractor
  • Pewaukee, WI
  • NPI 1154694313
  NPD (past)

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1902133994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21180 W CAPITOL DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530722915",
            "telephone_number": "262-695-1870",
            "fax_number": "262-695-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21180 W CAPITOL DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530722915",
            "telephone_number": "262-695-1870",
            "fax_number": "262-695-1872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3224 Main St",
            "address_purpose": "LOCATION",
            "city": "East Troy",
            "state": "WI",
            "postal_code": "531201152",
            "country_code": "US",
            "telephone_number": "262-642-4100",
            "fax_number": "262-642-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISCONSIN SPINAL REHABILITATION CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-695-1870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WI",
            "license": "3022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "387584681E07",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Megan Woehrer
• Allison Wojnar, BCBA
• Jeremy Jason Wojtecki, PA-C

• Rehabilitation Chiropractor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Rehabilitation Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.