Cedarburg Physical Therapy, Inc

LBN: Cedarburg Physical Therapy, Inc
Cedarburg Physical Therapy, Inc is an health care organization with primary practice located at W63N541 Hanover Ave , Cedarburg WI 53012-1917. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Cedarburg Physical Therapy, Inc can be contacted via phone (262) 375-2195, or through Goldbeck, Brandon G via phone (262) 375-2195.

Contact Information

Primary practice address
W63N541 Hanover Ave Cedarburg WI 53012-1917
Phone: (262) 375-2195
Fax: (262) 375-2273
Website:
Map and Directions
Authorized official contact:
Name: Goldbeck, Brandon G D.P.T.
Phone: (262) 375-2195

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1225040926
LBN Legal business name Cedarburg Physical Therapy, Inc
DBA Doing business as
Authorized official Goldbeck, Brandon G D.P.T.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1225040926 NPPES
Wisconsin MEDICAID 86687

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