Organization Active NPI

Medical Rehabilitation Associates, S.C.

  • Physical Medicine & Rehabilitation Physician
  • Mequon, WI
National Provider Identifier
1922086289
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MEDICAL REHABILITATION ASSOCIATES, S.C.
Practice address
11050 N River Rd
Mequon, WI 53092-4818
Phone
(262) 242-4400
Fax
(262) 242-4400
NPI assigned
Jan 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Robert M. Stern, M.D.NPI 1255328308
Title
President/Director
Phone
(262) 242-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

11050 N River Rd
Mequon, WI 53092-4818

Mailing address

PO Box 100440
Milwaukee, WI 53210-0440
Phone (262) 242-4400

National Provider Directory

National Provider Directory

Locations

2025 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 389-3154

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1922086289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100440",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532100440",
            "telephone_number": "262-242-4400",
            "fax_number": "262-242-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 N RIVER RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924818",
            "telephone_number": "262-242-4400",
            "fax_number": "262-242-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHABILITATION ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "262-242-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.