SUMMIT WELLNESS, INC. (NPI# 1861979445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861979445 |
| Entity Type | Organization |
| Organization Name | SUMMIT WELLNESS, INC. |
| Practice Address |
301 E Reservoir Ave Ste 1 Milwaukee WI 53212-3743 |
| Mailing Address |
5154 N Lydell Ave Whitefish Bay WI 53217-5532 |
| Practice Telephone | 4143506064 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Authorized Official Name | ANTHONY LANGTIMM (PRESIDENT) |
| Authorized Official Telephone | 4143506064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
10271-24 | WI | Ambulatory Health Care Facilities |
| Street Address |
301 E RESERVOIR AVE STE 1 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083101117 | Kinetic Sports Medicine and Performance LLC | Clinic/Center | 665 S 72nd St, Milwaukee, WI 53214-1558 | 2018-04-14 |
| 1548511975 | Be Well Therapeutic Massage, LLC | Clinic/Center | 2834 N 62nd St, Milwaukee, WI 53210-2117 | 2012-09-25 |
| 1750530812 | A Step Ahead Physical Therapy Services | Clinic/Center | 2915 S Kinnickinnic Ave, Milwaukee, WI 53207-2518 | 2008-09-15 |
| 1881643005 | Kerk Physical Therapy Specialists Sc | Clinic/Center | 807 N Jefferson St, Milwaukee, WI 53202 | 2006-05-06 |
| 1245238906 | United Therapy Services, Inc. | Clinic/Center | 3209 S Lake Dr, Milwaukee, WI 53235-3712 | 2005-07-07 |
| 1912565771 | Cameo Nursing Home, LLC | Clinic/Center | 5790 S 27th St, Milwaukee, WI 53221-4129 | 2019-06-05 |
| 1255834800 | Occupational Heath Centers of The Southwest Pa | Clinic/Center | 11414 W Park Pl Ste 100, Milwaukee, WI 53224-3500 | 2018-03-09 |
| 1578015889 | Mindful Matters Wellness, LLC | Clinic/Center | 1845 N Farwell Ave, Ste 200, Milwaukee, WI 53202-1793 | 2016-11-03 |
| 1508258526 | Quad Medical | Clinic/Center | 633 E Mason St, Milwaukee, WI 53202-3813 | 2015-02-27 |
| 1003040601 | Michael Jerome Wright Sr. | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2009-05-11 |
| Find all providers in MILWAUKEE | ||||
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| 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.