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Contact Information

KERK PHYSICAL THERAPY SPECIALISTS SC
1177 QUAIL CT
STE 200
PEWAUKEE, WI53072
 Phone: 262-695-3057
 Fax: 262-695-3063
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for KERK PHYSICAL THERAPY SPECIALISTS SC

NPI Number 1275582496
LBN Legal business name KERK PHYSICAL THERAPY SPECIALISTS SC
Authorized official ANDREW KERK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2006
Last updated 04/09/2025 - More than a year ago
Identifiers
WI Medicaid 40424300
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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