Active NPI
Medical Rehabilitation Associates, S.C.
- Physical Medicine & Rehabilitation Physician
- Mequon, WI
National Provider Identifier
1922086289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Milwaukee, WI
- NPI 1255328308
Physical Medicine & Rehabilitation
-
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Brown Deer, WI
- NPI 1295722320
Neuromuscular Medicine
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.