Eagle P-T is a Physical Therapist in Greenfield, Wisconsin. Eagle P-T practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Eagle P-T is 1811104193. The last update date is 2008-06-20.
Eagle P-T's current location address is 3920 S 120th St, Greenfield, Wisconsin. You can contact this provider via phone number 4145462667. The mailing address for Eagle P-T is 3920 S 120th St, Greenfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagle P-T |
|---|---|
| Address | 3920 S 120th St, Greenfield, Wisconsin |
| Phone Number | 4145462667 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sobush Dennis |
| Credentials | PT |
| Telephone Number | 4145462667 |
NPI Number Detail
| NPI Number | 1811104193 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 3920 S 120th St |
|---|---|
| City | Greenfield |
| State | Wisconsin (WI) |
| Post Code | 532281882 |
| Phone Number | 4145462667 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 1436024 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Eagle P-T by the Centers for Medicare & Medicaid Services?
The Eagle P-T has been assigned the NPI (National Provider Identifier) 1811104193 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Eagle P-T?
The Eagle P-T is situated at 3920 S 120Th St, in the city of Greenfield, state of WI, with the zip code 532281882.
What is the Eagle P-T's area of specialization and corresponding taxonomy classification?
The Eagle P-T's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Eagle P-T receive its 1811104193 assignment from the Centers for Medicare & Medicaid Services?
The Eagle P-T was assigned its 1811104193 by the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date were the details related to Eagle P-T most recently updated or revised?
The information pertaining to Eagle P-T, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-20.