MIDWEST REHABILITATION ASSOCIATES S.C. NPI 1598877375

NPI Information

NPI: 1598877375
Provider Name: MIDWEST REHABILITATION ASSOCIATES, S.C.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 52D1033061

Address:
2525 N MAYFAIR RD
SUITE 200
WAUWATOSA, WI
ZIP 53226
Phone: (414) 476-8183
Get Directions

MIDWEST REHABILITATION ASSOCIATES, S.C. is a pain medicine physical medicine rehabilitation in Wauwatosa, WI. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. MIDWEST REHABILITATION ASSOCIATES, S.C. NPI is 1598877375. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2525 N MAYFAIR RD
SUITE 200
WAUWATOSA, WI
ZIP 53226-403
Phone: (414) 476-8183
Fax: (414) 476-8465

The provider's authorized official is Mary Wright .
The authorized official title is Executive Director and has the following contact phone number (414) 476-8183.

The CLIA number assigned to this NPI record is 52D1033061 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/17/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	103TC0700X	Psychologist	Clinical	No
3	103TH0100X	Psychologist	Health Service	No
4	103T00000X	Psychologist		No
5	103TP2701X	Psychologist	Group Psychotherapy	No
6	1041C0700X	Social Worker	Clinical	No
7	208100000X	Physical Medicine & Rehabilitation		No
8	2084N0400X	Psychiatry & Neurology	Neurology	No
9	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	No
10	208VP0000X	Pain Medicine	Pain Medicine	No
11	224Z00000X	Occupational Therapy Assistant		No
12	225100000X	Physical Therapist		No
13	225X00000X	Occupational Therapist		No
14	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic	No
15	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000002900	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	MEDICARE NUMBER
2	137184000	OTHER	WISCONSIN	US DEPT OF LABOR ID
3	21280000	MEDICAID	WISCONSIN
4	=========	OTHER	WISCONSIN	TAX IDENTIFICATION

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: 4/28/2024

NPI Synchronization or Removal

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