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ICON PHYSICAL THERAPY
NPI 1578860292
Clinic/Center - Rehabilitation in Greenfield, WI

Active since February 15, 2011
8575 W FOREST HOME AVE STE 50, GREENFIELD, WI 53228(414) 525-9999(414) 525-9971 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Icon Physical Therapy NPPES

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

ICON PHYSICAL THERAPY (NPI 1578860292) is a healthcare organization registered as a rehabilitation in Greenfield, Wisconsin and active in the NPI registry since February 2011. The organization lists Thomas Martin Tomerlin, Manager, as its authorized official.

NPPES Registry Identity

NPI1578860292
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameGENOVACARE-WISCONSIN, LLC
Location Address8575 W FOREST HOME AVE STE 50Greenfield, WI 53228-3469
Mailing Address8575 W Forest Home Ave Ste 50Greenfield, WI 53228-3469 · (414) 525-9999 · Fax (414) 525-9971
Phone(414) 525-9999
Fax(414) 525-9971
Organization SubpartNo
Authorized OfficialThomas Martin TomerlinManager · (210) 564-0100
Enumeration DateFebruary 15, 2011
✔ NPI 1578860292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
8575 W FOREST HOME AVE STE 50, Greenfield, WI 53228
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Other Names 1

Doing Business AsIcon Physical Therapy

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 Genovacare-Wisconsin, LLC's NPI number?

The NPI number for Genovacare-Wisconsin, LLC is 1578860292. It was assigned to this organization in the NPPES registry on February 15, 2011. The provider is doing business as Icon Physical Therapy.

Where is Genovacare-Wisconsin, LLC located?

Genovacare-Wisconsin, LLC is located at 8575 W Forest Home Ave Ste 50, Greenfield, WI 53228. The listed phone number is (414) 525-9999.

What is Genovacare-Wisconsin, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Genovacare-Wisconsin, LLC was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.