SOUTHERN LAKES PHYSICAL THERAPY – NPI #1699965525
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

SOUTHERN LAKES PHYSICAL THERAPY is an AHC clinic located in MILWAUKEE, WI. NPPES has assigned the NPI number 1699965525 to SOUTHERN LAKES PHYSICAL THERAPY on July 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Physical Therapy

The NPI profile was previously updated about 7 years ago on Oct 11, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN LAKES PHYSICAL THERAPY below.

NPI Profile for
SOUTHERN LAKES PHYSICAL THERAPY

NPI Number
1699965525
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN LAKES PHYSICAL THERAPY
Primary location
2121 S KINNICKINNIC AVE
SUITE THREE
MILWAUKEE, WI 53207-1364
Phone: (414) 744-0707 Fax:
Mailing address
2121 S KINNICKINNIC AVE STE 3
MILWAUKEE, WI 53207-1368
Phone: (414) 744-0707 Fax:
Organization Subpart
No
Authorized Official
WILLIAM LOIS
OWNER/PRESIDENT
Phone: (414) 744-0707
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2000X
- Clinic/Center / Physical Therapy (Primary)
WI 10406024

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.