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

Southport Rehab Associates, Inc

Organization Rehabilitation Clinic/Center · NPI 1114929064

Southport Rehab Associates, Inc is a Rehabilitation Clinic/Center in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7201 Green Bay Rd
Kenosha, WI 53142-3522
Phone: (262) 694-3977
Fax: (262) 694-5648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X (WI)

Record details

NPI number1114929064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Letsom — President · (262) 694-3977
NPI enumeratedAugust 11, 2005
Last updated in NPPESApril 10, 2008
Mailing address7201 Green Bay Rd, Kenosha, WI 53142-3522

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