Wisconsin Center for Regenerative and Cell Medicine, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WISCONSIN CENTER FOR REGENERATIVE AND CELL MEDICINE, LLC

Doing business as

Orthotic WI MD

Practice address

216 Green Bay Rd
Thiensville, WI 53092-1658

Phone

(414) 764-9550

Fax

(414) 435-3110

NPI assigned

Aug 21, 2018

Last updated

Jan 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexandra M Solano, MD

Title

Ceo

Phone

(414) 764-9550

Specialties & licenses 1

Addresses

Other names 1

• Orthotic WI MD Doing business as

Locations

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1942780606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921658",
            "telephone_number": "414-764-9550",
            "fax_number": "414-435-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921658",
            "telephone_number": "414-764-9550",
            "fax_number": "414-435-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN CENTER FOR REGENERATIVE AND CELL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "SOLANO",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-764-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthotic WI MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakeeta Watts, DMN
• Michael James Weidman II, MSW, LCSW, SAC
• Matthew Weinlander, M.D.
• Carisa Wendt, BCBA
• Kayla Wetzel
• Wisconsin Orthopedic Rehabilitation Consultants, Inc. (Fyzical Therapy & Balance Centers)
• Cherie Wong
• Caitlin Rose Yonash, PHARMD

• Clinic/Center in Thiensville, WI
• Providers in Thiensville, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.