Symmetry Pain & Wellness Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SYMMETRY PAIN & WELLNESS CENTER LLC

Practice address

200 E Ryan Rd
Suite 103
Oak Creek, WI 53154-4533

Phone

(414) 856-1970

Fax

(414) 856-1974

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Socrates Rivers

Title

President

Phone

(414) 856-1970

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Alvin F Wells, MD

  • Rheumatology Physician
  • Destin, FL
  • NPI 1134234859
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1972537223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E RYAN RD",
            "address_2": "SUITE 103",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531544533",
            "telephone_number": "414-856-1970",
            "fax_number": "414-856-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E RYAN RD",
            "address_2": "SUITE 103",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531544533",
            "telephone_number": "414-856-1970",
            "fax_number": "414-856-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMMETRY PAIN & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "SOCRATES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-856-1970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0708835",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "169347163655",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "56823050",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Strommen, RPH
• Ellen Stueckroth, MSW, LCSW
• Supporting Provider Services
• Anthony Sustachek, PT
• Jennifer Dawn Svicek, PTA
• Jeff Taylor
• Veronica Tent, MD
• Gregg E Tetting, MD
• Madeline Tetzke
• Claudine Mbala Tezzo, LPN

• Physical Therapy Clinic/Center in Oak Creek, WI
• Providers in Oak Creek, 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 Apr 20, 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.