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

Sports Physical Therapy & Rehab Specialists, SC

Organization Physical Therapist · NPI 1326150624

Sports Physical Therapy & Rehab Specialists, SC is a Physical Therapist in Kenosha, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

3915 30th Ave
Kenosha, WI 53144-1957
Phone: (262) 657-0222
Fax: (262) 657-7190
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1326150624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juana Fernandez — Credentialing Manager · (630) 575-1980
Other names Athletico Physical Therapy
NPI enumeratedAugust 31, 2006
Last updated in NPPESJanuary 11, 2016
Mailing address625 Enterprise Dr, Oak Brook, IL 60523-8813

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