PEDIATRIC REHABILITATION MEDICINE ASSOCIATES,LLC – NPI #1629368337
Physical Medicine & Rehabilitation

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

PEDIATRIC REHABILITATION MEDICINE ASSOCIATES,LLC is a provider located in WAUWATOSA, WI. NPPES has assigned the NPI number 1629368337 to PEDIATRIC REHABILITATION MEDICINE ASSOCIATES,LLC on April 14, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081P0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine

The NPI profile was previously updated about 3 years ago on Feb 01, 2023. 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 PEDIATRIC REHABILITATION MEDICINE ASSOCIATES,LLC below.

NPI Profile for
PEDIATRIC REHABILITATION MEDICINE ASSOCIATES,LLC

NPI Number
1629368337
Enumeration Date

(more than 15 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
PEDIATRIC REHABILITATION MEDICINE ASSOCIATES,LLC
Primary location
3333 N. MAYFAIR RD
SUITE 103
WAUWATOSA, WI 53222-3219
Phone: (262) 527-1998 Fax: (866) 562-3609
Mailing address
18970 CAVENDISH RD
BROOKFIELD, WI 53045-8159
Phone: (262) 527-1998 Fax: (866) 562-3609
Organization Subpart
No
Authorized Official
ELIZABETH MOBERG-WOLFF
OWNER
Phone: (262) 527-1998
Updated
Certification Date
Feb 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2081P0010X
- Physical Medicine & Rehabilitation / Pediatric Rehabilitation Medicine (Primary)
WI 32483020

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.