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KENOSHA ACHIEVEMENT CENTER NPI 1013974849


NPI Information

NPI: 1013974849
Provider Name: KENOSHA ACHIEVEMENT CENTER
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
1218 79TH ST
KENOSHA, WI
ZIP 53143
Phone: (262) 658-9500
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KENOSHA ACHIEVEMENT CENTER is a pediatrics physical therapist in Kenosha, WI. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. KENOSHA ACHIEVEMENT CENTER NPI is 1013974849. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1218 79TH ST
KENOSHA, WI
ZIP 53143-111
Phone: (262) 658-9500
Fax: (262) 658-9621

The provider's authorized official is Christine Weyker .
The authorized official title is Director and has the following contact phone number (262) 658-9650.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 4/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225XP0200XOccupational TherapistPediatricsNo
2235Z00000XSpeech-Language PathologistNo
32251P0200XPhysical TherapistPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141217500MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.