NPIMap

Organization Active NPI

Wellness Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Janesville, WI
National Provider Identifier
1962649871
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6430024 Issued in WI
Legal business name
WELLNESS PHYSICAL THERAPY, LLC
Practice address
4539 Woodgate Dr
Suite a
Janesville, WI 53546-8205
Phone
(608) 359-1737
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Christine Koth, MPTNPI 1215172358
Title
Owner
Phone
(608) 359-1737

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 Therapy Clinic/Center 261QP2000X 6430024 WI Primary

Addresses

Primary practice location

4539 Woodgate Dr
Suite a
Janesville, WI 53546-8205

Mailing address

4139 Windmill LN
Janesville, WI 53546-4206

National Provider Directory

National Provider Directory

Locations

7 E Main St
Ste 4
Evansville, WI 53536
Phone (608) 285-2424

4539 Woodgate Dr
Ste A
Janesville, WI 53546
Phone (608) 359-1737

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": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1962649871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 WINDMILL LN",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535464206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 WOODGATE DR",
            "address_2": "SUITE A",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535468205",
            "telephone_number": "608-359-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "KOTH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-359-1737",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "6430024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.