Peoplefirst Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PEOPLEFIRST REHAB

Practice address

626 Lexington Blvd
Fort Atkinson, WI 53538-1397

Phone

(920) 222-1240

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Marie Evenson, MS CCC SLP

Title

Speech Therapist

Phone

(920) 222-1240

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1952575375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 LEXINGTON BLVD",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 LEXINGTON BLVD",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381397",
            "telephone_number": "920-222-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLEFIRST REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "EVENSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "920-222-1240",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42585300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.