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ADVOCATE AURORA HEALTHCARE NPI 1386109429


NPI Information

NPI: 1386109429
Provider Name: ADVOCATE AURORA HEALTHCARE
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

CLIA Number: 52D2243250

Address:
3003 W GOOD HOPE RD
MILWAUKEE, WI
ZIP 53209
Phone: (414) 352-3100
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ADVOCATE AURORA HEALTHCARE is an orthopedic physical therapist in Milwaukee, WI. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. ADVOCATE AURORA HEALTHCARE NPI is 1386109429. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3003 W GOOD HOPE RD
MILWAUKEE, WI
ZIP 53209-042
Phone: (414) 352-3100

The provider's authorized official is Ifeanyi Osude .
The authorized official title is Physical Therapist and has the following contact phone number (815) 404-9290.

The CLIA number assigned to this NPI record is 52D2243250 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2019 and was last updated on 2/3/2019.


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
12251X0800XPhysical TherapistOrthopedicYes

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
114480MEDICAIDWISCONSIN

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

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.