FORM & FITNESS
NPI 1063612067
Physical Therapist in Mequon, WI

Active since July 19, 2007
11053 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 241-3449(262) 241-5229 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Form & Fitness NPPES

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

FORM & FITNESS (NPI 1063612067) is a healthcare organization registered as a physical therapist in Mequon, Wisconsin and active in the NPI registry since July 2007. The organization lists Ben Quist, President, as its authorized official.

NPPES Registry Identity

NPI1063612067
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameFORM & FITNESS
Location Address11053 N PORT WASHINGTON RDMequon, WI 53092-5032
Mailing Address11053 N Port Washington RdMequon, WI 53092-5032 · (262) 241-3449 · Fax (262) 241-5229
Fax(262) 241-5229
Organization SubpartNo
Authorized OfficialBen QuistPresident · (262) 241-3449
Enumeration DateJuly 19, 2007
NPI 1063612067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
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 perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
11053 N PORT WASHINGTON RD, Mequon, WI 53092

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hearing Instrument Specialist
11053 N PORT WASHINGTON RD
MEQUON, WI 53092
Hearing Instrument Specialist
11053 N PORT WASHINGTON RD
MEQUON, WI 53092
Hearing Instrument Specialist
11053 N PORT WASHINGTON RD
MEQUON, WI 53092

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 Form & Fitness's NPI number?

The NPI number for Form & Fitness is 1063612067. It was assigned to this organization in the NPPES registry on July 19, 2007.

Where is Form & Fitness located?

Form & Fitness is located at 11053 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 241-3449.

What is Form & Fitness's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Form & Fitness was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.