FORM & FITNESS
NPI 1063612067
Physical Therapist in Mequon, WI
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
Specialties & Licenses
- 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.
Group Practice 1
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.
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.