Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivyrehab Wisconsin Peds, LLC

Organization Physical Therapist · NPI 1316636210

Ivyrehab Wisconsin Peds, LLC is a Physical Therapist in Brookfield, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19601 W Bluemound Rd Ste 120
Brookfield, WI 53045-5974
Phone: (262) 771-0065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1316636210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Griffiths — Director Of Payer Relations · (914) 294-4050
NPI enumeratedMay 5, 2023
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

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