UWHP WATERTOWN REGIONAL MEDICAL CENTER REHAB & SPORTS MEDICINE
NPI 1194938977
Clinic/Center - Rehabilitation in Watertown, WI

Active since May 08, 2007CLIA 52D0971267 · Waiver
1684 S CHURCH ST, WATERTOWN, WI 53094(920) 262-4220 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Uwhp Watertown Regional Medical Center Rehab & Sports Medicine NPPES

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

UWHP WATERTOWN REGIONAL MEDICAL CENTER REHAB & SPORTS MEDICINE (NPI 1194938977) is a healthcare organization registered as a rehabilitation in Watertown, Wisconsin and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Robert James Kluge, Patient Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1194938977
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameWATERTOWN REGIONAL MEDICAL CENTER INC
Location Address1684 S CHURCH STWatertown, WI 53094-6406
Mailing Address125 Hospital DrWatertown, WI 53098-3303 · (920) 262-4784 · Fax (920) 262-4640
Organization SubpartYes
Authorized OfficialRobert James KlugePatient Accounts Manager · (920) 262-4784
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 21, 2022
NPI 1194938977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
1684 S CHURCH ST, Watertown, WI 53094

Other Names 1

Doing Business AsUwhp Watertown Regional Medical Center Rehab & Sports Medicine

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0971267

Watertown Regional Medical Center Doctor's Court Clinic · Watertown, WI
Active · expires Mar 10, 2028
CLIA Number52D0971267
Laboratory TypeOff-Campus Provider Based
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorDr. Jason T. Mcmaster
Laboratory Phone(920) 261-4111
Laboratory LocationWatertown Regional Medical Center Doctor's Court Clinic1507 Doctors Court, Watertown, WI 53094
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physical Medicine & Rehabilitation
1684 S CHURCH ST
WATERTOWN, WI 53094
Physical Therapist
1684 S CHURCH ST
WATERTOWN, WI 53094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194938977, enumerated as an "organization" on May 08, 2007.

The provider is located at 1684 S CHURCH ST WATERTOWN, WI 53094 and the phone number is (920) 262-4220.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.