New Life Physical Therapy & Sports Medicine, Inc.

LBN: New Life Physical Therapy & Sports Medicine, Inc.
New Life Physical Therapy & Sports Medicine, Inc. is an health care organization with primary practice located at 2639 New Pinery Rd Suite 2, Portage WI 53901-1110. 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. New Life Physical Therapy & Sports Medicine, Inc. can be contacted via phone (608) 742-9356, or through Vanderkooi, Matthew via phone (608) 742-9356.

Contact Information

Primary practice address
2639 New Pinery Rd Suite 2 Portage WI 53901-1110
Phone: (608) 742-9356
Fax: (608) 742-3958
Website:
Map and Directions
Authorized official contact:
Name: Vanderkooi, Matthew
Phone: (608) 742-9356

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1467499939
LBN Legal business name New Life Physical Therapy & Sports Medicine, Inc.
DBA Doing business as
Authorized official Vanderkooi, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Aug 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467499939 NPPES
Wisconsin MEDICAID 40423100

Popular Providers