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

Sports Physical Therapy & Rehab Specialist, SC

Organization Physical Therapist · NPI 1891295614

Sports Physical Therapy & Rehab Specialist, SC is a Physical Therapist in Brookfield, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3

Practice location Address checks out

17495 W Capitol Dr Ste L
Brookfield, WI 53045-2059
Phone: (262) 879-0010
Fax: (262) 879-9781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1891295614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juana Granados — Credentialing Manager · (630) 575-1980
Other names Athletico Physical Therapy
NPI enumeratedFebruary 19, 2018
Last updated in NPPESFebruary 19, 2018
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548

Other providers in Brookfield