SPORT CLINIC PHYSICAL THERAPY INC
NPI 1912918475
Physical Therapist in Bayside, WI
About Sport Clinic Physical Therapy Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPORT CLINIC PHYSICAL THERAPY INC (NPI 1912918475) is a healthcare organization registered as a physical therapist in Bayside, Wisconsin and active in the NPI registry since August 2006. The organization lists John A Hendrickson, Ower President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 3
Group Practice 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)
Sport Clinic Physical Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Sport Clinic Physical Therapy Inc, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
Two Rivers, WI 54241
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 Sport Clinic Physical Therapy Inc's NPI number?
The NPI number for Sport Clinic Physical Therapy Inc is 1912918475. It was assigned to this organization in the NPPES registry on August 10, 2006.
Where is Sport Clinic Physical Therapy Inc located?
Sport Clinic Physical Therapy Inc is located at 8911 N Port Washington Rd Sport Clinic Physical Therapy Inc, Bayside, WI 53217. The listed phone number is (414) 351-5794.
What is Sport Clinic Physical Therapy Inc's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Sport Clinic Physical Therapy Inc enrolled in Medicare?
Yes. Sport Clinic Physical Therapy Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sport Clinic Physical Therapy Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Sport Clinic Physical Therapy Inc. 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. The largest specialties are Physical Therapist in Private Practice (11), Physical Medicine and Rehabilitation (2) and Qualified Speech Language Pathologist (2). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sport Clinic Physical Therapy Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list Sport Clinic Physical Therapy 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 Sport Clinic Physical Therapy Inc was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Sport Clinic Physical Therapy Inc · NPI 1912918475
Physical Therapist organization in Bayside, Wisconsin. Organization record, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1912918475 (Entity type: Organization)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** John Hendrickson, OWER PRESIDENT
## Practice location
- **Address:** 8911 N PORT WASHINGTON RD, SPORT CLINIC PHYSICAL THERAPY INC, Bayside, WI 53217-1634
- **Phone:** (414) 351-5794 · **Fax:** (414) 351-2770
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (11), Physical Medicine and Rehabilitation (2), Qualified Speech Language Pathologist (2); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2012
- **Other identifiers:** Medicaid 40424700 (WI); Medicare ID-Type Unspecified 000080039 (WI); Medicare PIN 000080039 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1912918475) · Data from the CMS NPPES public registry.