Organization Active NPI

Midwest Relief and Rehab

  • Chiropractor
  • Brookfield, WI
National Provider Identifier
1992136709
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4610-12 Issued in WI
Legal business name
MIDWEST RELIEF AND REHAB
Practice address
17145 W Bluemound Rd Ste J
#260
Brookfield, WI 53005-5941
Phone
(262) 745-7420
NPI assigned
Dec 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Authorized official

Name
Peter Geary, DC
Title
Chiropractor
Phone
(262) 745-7420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4610-12 WI Primary

Addresses

Primary practice location

17145 W Bluemound Rd Ste J
#260
Brookfield, WI 53005-5941

Mailing address

17145 W Bluemound Rd Ste J
#260
Brookfield, WI 53005-5941

National Provider Directory

National Provider Directory

Locations

17145 W Bluemound Rd
Ste J
Brookfield, WI 53005
Phone (262) 745-7420

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1992136709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17145 W BLUEMOUND RD STE J",
            "address_2": "#260",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17145 W BLUEMOUND RD STE J",
            "address_2": "#260",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055941",
            "telephone_number": "262-745-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST RELIEF AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "GEARY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-745-7420",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4610-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.