Physical Achievement Center Llc

LBN: Physical Achievement Center Llc
Physical Achievement Center Llc is an health care organization with primary practice located at 3475 Omro Rd Ste 300 , Oshkosh WI 54904. 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. Physical Achievement Center Llc can be contacted via phone (920) 230-2747, or through Koehler, Eric Leo via phone (920) 379-9692.

Contact Information

Primary practice address
3475 Omro Rd Ste 300 Oshkosh WI 54904
Phone: (920) 230-2747
Fax: (920) 385-7074
Website:
Map and Directions
Authorized official contact:
Name: Koehler, Eric Leo PT, DPT, OCS
Phone: (920) 379-9692

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4017-024

Profile Details

NPI number 1083136758
LBN Legal business name Physical Achievement Center Llc
DBA Doing business as
Authorized official Koehler, Eric Leo PT, DPT, OCS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2017
Last updated Jul 21st, 2022 - about 4 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 1083136758 NPPES
Wisconsin MEDICAID 40187000

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