Freedom Physical Therapy Services Sc
LBN: Freedom Physical Therapy Services Sc
Freedom Physical Therapy Services Sc is an health care organization with primary practice located at 6908 N Santa Monica Blvd , Fox Point WI 53217-3942. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Freedom Physical Therapy Services Sc can be contacted via phone (414) 352-2082, or through Stathas, Peter J via phone (414) 352-2082.
Contact Information
Primary practice address
6908 N Santa Monica Blvd
Fox Point WI 53217-3942
Phone: (414) 352-2082
Fax: (414) 352-5279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Wisconsin |
Profile Details
| NPI number | 1063406544 |
|---|---|
| LBN Legal business name | Freedom Physical Therapy Services Sc |
| DBA Doing business as | |
| Authorized official | Stathas, Peter J Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Oct 5th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063406544 | NPPES |
| Wisconsin | MEDICAID | 40418500 |
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