Sports Physical Therapy & Rehab Specialist Sc, NPI 1417455528
Clinic/Center in Union Grove, WI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1417455528 |
| NPI Entity Type | Organization |
| Provider Name |
Sports Physical Therapy & Rehab Specialist Sc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1201 Main St, Union Grove, WI, US |
| Provider Mailing Address | 600 Oakmont Ln, Westmont, IL, US, 605595548 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Juana Granados |
| Official Position | CREDENTIALING MANAGER |
| Phone | 630-575-1980 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Clinic/Center |
| Classification | |
| Group | |
| Description | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
IL | No | |||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
No |
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Fort Healthcare, Inc Organization |
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