West Bend Clinic, INC.
Occupational Therapist in Jackson, WI. Organization (NPI-2).
NPI number1124328232
StatusActive
Last updated in NPPESOct 25, 2010
Details
- NPI
- 1124328232
- Entity type
- Organization (NPI-2)
- Legal business name
- West Bend Clinic, INC.
- Organization subpart
- No
- Enumeration date
- Oct 25, 2010
- Last updated
- Oct 25, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225100000X | Physical Therapist | – | – |
Other names
- Froedtert Health Rehabilitation And Sports Medicine Center (Doing Business As)
Practice location
W227 N16857 Tillie Lake CourtJackson, WI 53037-9000
Phone 262-365-6170
Mailing address
1700 W Paradise DrWest Bend, WI 53095
Phone 262-334-3451
Authorized official
James Browne
Administrator
2623066536
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