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

Sport Clinic of Greater Milwaukee

Organization Physical Therapist · NPI 1275628208

Sport Clinic of Greater Milwaukee is a Physical Therapist in Wauwatosa, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

11904 W North Ave Ste 100
Wauwatosa, WI 53226-2062
Phone: (414) 453-8616
Fax: (414) 453-6150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1275628208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Becker — C.F.O. · (414) 453-8616
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address11904 W North Ave, Ste 100, Wauwatosa, WI 53226-2062

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