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EXTEND PHYSICAL THERAPY AND WELLNESS
NPI 1063082626
Physical Therapist - Geriatrics in Mount Pleasant, WI

Active since June 28, 2021
1648 KUIPER LN, MOUNT PLEASANT, WI 53406(262) 902-7881 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 17, 2021, Jul 9, 2021, Jun 28, 2021 (3 updates tracked since 2021).

About Extend Physical Therapy And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTEND PHYSICAL THERAPY AND WELLNESS (NPI 1063082626) is a healthcare organization registered as a geriatrics in Mount Pleasant, Wisconsin and active in the NPI registry since June 2021. The organization lists Haley J Naegeli, Owner, as its authorized official.

NPPES Registry Identity

NPI1063082626
Entity TypeOrganization
Primary Taxonomy2251G0304X
Legal Business NameEXTEND PHYSICAL THERAPY AND WELLNESS
Location Address1648 KUIPER LNMount Pleasant, WI 53406-4310
Mailing Address1648 Kuiper LnMount Pleasant, WI 53406-4310 · (262) 902-7881
Phone(262) 902-7881
Organization SubpartNo
Authorized OfficialHaley J NaegeliOwner · (262) 902-7881
Enumeration DateJune 28, 2021
Last NPPES UpdateAugust 17, 20213 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
✔ NPI 1063082626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

1648 KUIPER LN, Mount Pleasant, WI 53406
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extend Physical Therapy And Wellness's NPI number?

The NPI number for Extend Physical Therapy And Wellness is 1063082626. It was assigned to this organization in the NPPES registry on June 28, 2021.

Where is Extend Physical Therapy And Wellness located?

Extend Physical Therapy And Wellness is located at 1648 Kuiper Ln, Mount Pleasant, WI 53406. The listed phone number is (262) 902-7881.

What is Extend Physical Therapy And Wellness's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Extend Physical Therapy And Wellness was last updated on August 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.