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is a Clinic/center - Physical Therapy based in Jefferson, Wisconsin. is licensed to practice in * (Not Available) (license number ) and their current practice location is 222 S Wisconsin Drive, Suite 3, Jefferson, Wisconsin. It can be reached at their office (for appointments etc.) via phone at (920) 699-4201.

NPI number for is 1982780813 and their current mailing address is 1300 W Sam Houston Pkwy S, Suite 300, Houston, Texas. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1982780813.

Contact Information

222 S Wisconsin Drive, Suite 3,
Jefferson, WI 53549
(920) 699-4201
(920) 699-4204

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Physical Therapy
Location222 S Wisconsin Drive, Jefferson, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982780813
  • Provider Enumeration Date: 10/31/2006
  • Last Update Date: 11/28/2012

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982780813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1300 W Sam Houston Pkwy S, Suite 300,
Houston, TX 77042-2447

Ph: (713) 297-7000
222 S Wisconsin Drive, Suite 3,
Jefferson, WI 53549

Ph: (920) 699-4201

Reviews and Comments



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