Athletico Physical Therapy

LBN: Sports Physical Therapy & Rehab Specialists, S.C.
Athletico Physical Therapy is an health care organization with primary practice located at 3915 30Th Ave , Kenosha WI 53144-1957. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Sports Physical Therapy & Rehab Specialists, S.C. can be contacted via phone (262) 657-0222, or through Fernandez, Juana L via phone (630) 575-1980.

Contact Information

Primary practice address
3915 30Th Ave Kenosha WI 53144-1957
Fax: (262) 657-7190
Website:
Authorized official contact:
Name: Fernandez, Juana L

Profile Details

NPI number 1326150624
LBN Legal business name Sports Physical Therapy & Rehab Specialists, S.C.
DBA Doing business as Athletico Physical Therapy
Authorized official Fernandez, Juana L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 11th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326150624 NPPES
Wisconsin Other 000085940 MEDICARE
Wisconsin Other 000086040 MEDICARE
Wisconsin Other 4919795 MEDICARE
Wisconsin Other CG8674 MEDICARE
Wisconsin Other WI2660 MEDICARE
Wisconsin MEDICAID 40415400 MEDICARE
Wisconsin Other CJ6927 MEDICARE

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