NPI Details
CEDARBURG PHYSICAL THERAPY, INC is a physical therapy clinic center in Cedarburg, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. CEDARBURG PHYSICAL THERAPY, INC NPI is 1225040926. The provider is registered as an organization entity type.
The provider's business location address is:
W63N541 HANOVER AVE
CEDARBURG, WI
ZIP 53012-917
Phone: (262) 375-2195
Fax: (262) 375-2273
The provider's authorized official is Brandon G Goldbeck .
The authorized official title is President and has the following contact phone number (262) 375-2195.
The CLIA number assigned to this NPI record is 52D0914895 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/12/2006 and was last updated on 8/22/2020.
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 |
License Number |
License State |
Primary |
| 1 | 261QP2000X | Clinic/Center | Physical Therapy | | | 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 | 86687 | MEDICAID | WISCONSIN | |
