MIDWEST REHABILITATION ASSOCIATES, S.C.; NPI #1598877375

Contact Information

MIDWEST REHABILITATION ASSOCIATES, S.C.

2525 N MAYFAIR RD
SUITE 200
WAUWATOSA, WI 53226-1403

Phone: 414-476-8183
Fax: 414-476-8465
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pain Medicine	2081P2900X	25	Physician/Physical Medicine and Rehabilitation
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Clinical	103TC0700X	62	Psychologist, Clinical
Clinical Neurophysiology	2084N0600X	86	Physician/Neuropsychiatry
Electroneurodiagnostic	246ZE0600X
Group Psychotherapy	103TP2701X	62	Psychologist, Clinical
Health Service	103TH0100X	62	Psychologist, Clinical
Neurology	2084N0400X	13	Physician/Neurology
Occupational Therapist	225X00000X	67	Occupational Therapist in Private Practice
Occupational Therapy Assistant	224Z00000X
Pain Medicine	208VP0000X	72	Physician/Pain Management
Physical Medicine & Rehabilitation	208100000X	25	Physician/Physical Medicine and Rehabilitation
Physical Therapist	225100000X	65	Physical Therapist in Private Practice
Professional	101YP2500X
Psychologist	103T00000X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for MIDWEST REHABILITATION ASSOCIATES, S.C.

NPI # 1598877375

LBN Legal business name MIDWEST REHABILITATION ASSOCIATES, S.C.

Authorized official MARY WRIGHT - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/31/2006

Last updated 12/17/2012 - About 13 years ago

Identifiers

WI	Medicaid	21280000
WI	Other	137184000	US DEPT OF LABOR ID

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MIDWEST REHABILITATION ASSOCIATES, S.C.

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NPI Profile & details for MIDWEST REHABILITATION ASSOCIATES, S.C.

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