TAYLORED REHAB, LLC (NPI# 1356485791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356485791 |
| Entity Type | Organization |
| Organization Name | TAYLORED REHAB, LLC |
| Other Organization Name | REHAB ARISCES, LLC |
| Practice Address |
845 South Main Street Suite 120 Fond Du Lac WI 54935 |
| Practice Telephone | 9203220447 |
| Practice Fax Number | 9203221362 |
| Mailing Telephone | 9203220447 |
| Mailing Fax Number | 9203221362 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | JAMES R TAYLOR (CO-OWNER) |
| Authorized Official Telephone | 9203220447 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rehab Arisces, LLC | Former Legal Business Name - Organization |
| Street Address |
845 SOUTH MAIN STREET SUITE 120 |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760526131 | Jennifer L Taylor | Physical Therapist | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-02-17 |
| 1366677379 | Patricia Jean Theabo | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935-6116 | 2009-05-19 |
| 1538347802 | Carolanne Marjorie Bilitz | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2008-02-08 |
| 1588857494 | Kim Loomans | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-08-23 |
| 1063605970 | Jody L Pomplun | Occupational Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-08-23 |
| 1861605743 | Alan Walter Hill | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-05-08 |
| 1750594065 | Molly Marie Brooks | Occupational Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-05-07 |
| 1285846147 | Barbara A. Meyers | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-05-04 |
| 1679795496 | Amy Lynn Schatzke | Physical Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-05-02 |
| 1396967410 | Gretchen Catherine Hafemeister | Occupational Therapy Assistant | 845 South Main Street, Suite 120, Fond Du Lac, WI 54935 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437271012 | Bauer Physical Therapy LLC | Clinic/Center | 355 N Peters Ave, Fond Du Lac, WI 54935-8258 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313074 | Byond Physical Therapy, LLC | Clinic/Center | 11320 W Forest Home Ave, Franklin, WI 53132-1401 | 2020-10-13 |
| 1568078780 | Streamline Physical Therapy | Clinic/Center | 5806 Crabapple Ln, Madison, WI 53711-3437 | 2020-09-22 |
| 1790311199 | Exos Wi LLC | Clinic/Center | 7044 S Ballpark Dr Ste 300, Franklin, WI 53132-6910 | 2020-03-17 |
| 1831735885 | Garvey Physical Therapy & Wellness LLC | Clinic/Center | 417 Maple Ct, Campbellsport, WI 53010-3531 | 2019-11-25 |
| 1821649088 | Impact Physical Therapy & Performance LLC | Clinic/Center | 1155 Clarity Dr, Verona, WI 53593-9318 | 2019-09-27 |
| 1427605146 | Peak Endurance | Clinic/Center | 15 N Butler St, Madison, WI 53703-4237 | 2019-08-19 |
| 1558917617 | Quad/med, LLC | Clinic/Center | N61 W23044 Harry's Way, Sussex, WI 53089 | 2019-08-14 |
| 1619521267 | Space To Be Well, LLC | Clinic/Center | 1091 Sutherland Ave, River Falls, WI 54022-7509 | 2019-07-31 |
| 1346894656 | Cornerstone Physical Therapy, LLC | Clinic/Center | 2829 County Highway I Ste 3, Chippewa Falls, WI 54729-2678 | 2019-07-25 |
| 1619437514 | Resilience Rx LLC | Clinic/Center | 4708 Graywood Ct Apt 3, Nashotah, WI 53058-9688 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
Please comment or provide details below to improve the information on TAYLORED REHAB, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.