1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Clinic Center
  6. NPI Profile

SOUTHPORT REHAB ASSOCIATES, INC
NPI 1114929064
Clinic/Center - Rehabilitation in Kenosha, WI

Active since August 11, 2005
7201 GREEN BAY RD, KENOSHA, WI 53142(262) 694-3977(262) 694-5648 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southport Rehab Associates, Inc NPPES

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

SOUTHPORT REHAB ASSOCIATES, INC (NPI 1114929064) is a healthcare organization registered as a rehabilitation in Kenosha, Wisconsin and active in the NPI registry since August 2005. The organization lists William H Letsom, President, as its authorized official.

NPPES Registry Identity

NPI1114929064
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameSOUTHPORT REHAB ASSOCIATES, INC
Location Address7201 GREEN BAY RDKenosha, WI 53142-3522
Mailing Address7201 Green Bay RdKenosha, WI 53142-3522 · (262) 694-3977 · Fax (262) 694-5648
Phone(262) 694-3977
Fax(262) 694-5648
Organization SubpartNo
Authorized OfficialWilliam H LetsomPresident · (262) 694-3977
Enumeration DateAugust 11, 2005
Last NPPES UpdateApril 10, 2008
✔ NPI 1114929064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
7201 GREEN BAY RD, Kenosha, WI 53142
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified526533WI
Medicaid41695100WI
Medicaid41811000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 11

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

GS MICELI DPM, SC
Podiatrist (Foot Surgery)
7201 GREEN BAY RD, SUITE A
KENOSHA, WI 53142
Kenosha County (262) 925-6565
ALWIN A DIAZ N.P.
Nurse Practitioner
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 432-2352
MS. ELLE HUCK, PTA
Physical Therapy Assistant
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 694-3977
MRS. PAMELA M HILEMAN PTA
Physical Therapy Assistant
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 694-3977
MR. WILLIAM H. LETSOM PT
Physical Therapist
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 694-3977
MRS. KAREN LYNNE TENUTA BS,PT
Physical Therapist
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 694-3977
MRS. SHELLEY K ROGERS P.T.A.
Physical Therapy Assistant
7201 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 694-3977
DR. GIUSEPPE S MICELI DPM
Podiatrist (Foot Surgery)
7201 GREEN BAY RD, SUITE A
KENOSHA, WI 53142
Kenosha County (262) 925-6565

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 Southport Rehab Associates, Inc's NPI number?

The NPI number for Southport Rehab Associates, Inc is 1114929064. It was assigned to this organization in the NPPES registry on August 11, 2005.

Where is Southport Rehab Associates, Inc located?

Southport Rehab Associates, Inc is located at 7201 Green Bay Rd, Kenosha, WI 53142. The listed phone number is (262) 694-3977.

What is Southport Rehab Associates, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

What insurance does Southport Rehab Associates, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Southport Rehab Associates, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southport Rehab Associates, Inc was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.