SPORT CLINIC OF GREATER MILWAUKEE
NPI 1275628208
Physical Therapist in Wauwatosa, WI

Active since October 04, 2006
11904 W NORTH AVE, STE 100, WAUWATOSA, WI 53226(414) 453-8616(414) 453-6150 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sport Clinic Of Greater Milwaukee NPPES

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

SPORT CLINIC OF GREATER MILWAUKEE (NPI 1275628208) is a healthcare organization registered as a physical therapist in Wauwatosa, Wisconsin and active in the NPI registry since October 2006. The organization lists Matthew Becker, C.f.o., as its authorized official.

NPPES Registry Identity

NPI1275628208
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameSPORT CLINIC OF GREATER MILWAUKEE
Location Address11904 W NORTH AVE, STE 100Wauwatosa, WI 53226-2062
Mailing Address11904 W North Ave, Ste 100Wauwatosa, WI 53226-2062 · (414) 453-8616 · Fax (414) 453-6150
Fax(414) 453-6150
Organization SubpartNo
Authorized OfficialMatthew BeckerC.f.o. · (414) 453-8616
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1275628208 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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

11904 W NORTH AVE, Wauwatosa, WI 53226

Other Identifiers 1

Medicaid40418200WI

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 13

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

Physical Therapist
11904 W NORTH AVE, SUITE 100
WAUWATOSA, WI 53226
Dentist (General Practice)
11904 W NORTH AVE
WAUWATOSA, WI 53226
Community/Behavioral Health
11904 W NORTH AVE, SUITE 110
WAUWATOSA, WI 53226
Dentist (General Practice)
11904 W NORTH AVE
WAUWATOSA, WI 53226
Physical Therapy Assistant
11904 W NORTH AVE, SUITE 100
WAUWATOSA, WI 53226
Physical Therapist
11904 W NORTH AVE, SUITE 100
WAUWATOSA, WI 53226
Counselor (Professional)
11904 W NORTH AVE, SUITE 110
WAUWATOSA, WI 53226
Physical Therapist
11904 W NORTH AVE, SUITE 100
WAUWATOSA, WI 53226

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 Sport Clinic Of Greater Milwaukee's NPI number?

The NPI number for Sport Clinic Of Greater Milwaukee is 1275628208. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Sport Clinic Of Greater Milwaukee located?

Sport Clinic Of Greater Milwaukee is located at 11904 W North Ave Ste 100, Wauwatosa, WI 53226. The listed phone number is (414) 453-8616.

What is Sport Clinic Of Greater Milwaukee'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 Sport Clinic Of Greater Milwaukee was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.