INTEGRA PHYSICAL THERAPY,SC
NPI 1417221433
Clinic/Center - Physical Therapy in Fox Point, WI
About Integra Physical Therapy,sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRA PHYSICAL THERAPY,SC (NPI 1417221433) is a healthcare organization registered as a physical therapy in Fox Point, Wisconsin and active in the NPI registry since March 2012. The organization lists John Herda, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integra Physical Therapy,sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Integra Physical Therapy,sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Integra Physical Therapy,sc's NPI number?
The NPI number for Integra Physical Therapy,sc is 1417221433. It was assigned to this organization in the NPPES registry on March 8, 2012.
Where is Integra Physical Therapy,sc located?
Integra Physical Therapy,sc is located at 8677 N Port Washington Rd, Fox Point, WI 53217. The listed phone number is (414) 351-8482.
What is Integra Physical Therapy,sc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Integra Physical Therapy,sc enrolled in Medicare?
Yes. Integra Physical Therapy,sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integra Physical Therapy,sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Integra Physical Therapy,sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Integra Physical Therapy,sc accept?
Health plans from Anthem Blue Cross and Blue Shield list Integra Physical Therapy,sc 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 Integra Physical Therapy,sc was last updated on April 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Integra Physical Therapy,sc · NPI 1417221433
Physical Therapy organization in Fox Point, Wisconsin. Organization record, active in the CMS NPPES registry since March 8, 2012.
## Identity
- **NPI:** 1417221433 (Entity type: Organization)
- **Enumerated:** March 8, 2012
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** John Herda, CFO
## Practice location
- **Address:** 8677 N PORT WASHINGTON RD, Fox Point, WI 53217-2209
- **Phone:** (414) 351-8482 · **Fax:** (414) 351-8483
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2013
- **Other identifiers:** Medicaid 100024282 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1417221433) · Data from the CMS NPPES public registry.