Paluchniak Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PALUCHNIAK PHYSICAL THERAPY LLC

Practice address

1930 Wisconsin Ave Ste 31
Grafton, WI 53024-2632

Phone

(920) 627-2479

NPI assigned

Mar 23, 2021

Organization subpart

No

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

Authorized official

Name

Matthew PaluchniakNPI 1770967366

Title

Owner

Phone

(920) 627-2479

Specialties & licenses 1

Addresses

Other names 1

• Evolv Physical Therapy & Performance Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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

• Matthew Paluchniak, PT, DPT

  • Physical Therapist
  • Mount Pleasant, WI
  • NPI 1770967366
  NPD Authorized official
• Samantha Paluchniak, MOT, OTR/L

  • Occupational Therapist
  • Grafton, WI
  • NPI 1003678053
  NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1962088625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 WISCONSIN AVE STE 31",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 WISCONSIN AVE STE 31",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242632",
            "telephone_number": "920-627-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALUCHNIAK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "PALUCHNIAK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-627-2479"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.evolv-pt.com",
            "affiliation": "N",
            "address_1": "1930 Wisconsin Ave Ste 31",
            "city": "Grafton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530242632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evolv Physical Therapy & Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Opal Waters Therapy LLC
• Dana Osburn
• Dawn Marie Osinski, PA-C
• Rebekah L Otte, NP
• Ozaukee Central Fire Department
• Samantha Paluchniak, MOT, OTR/L
• William J Pao, MD
• Melissa Paszkowski
• Richard A Paulsen, M.D.
• Gwenn K. Pavlovitz, M.D.

• Physical Therapy Clinic/Center in Grafton, WI
• Providers in Grafton, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.