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

Sports Physical Therapy & Rehabilitation Specialists SC

Organization Physical Therapist · NPI 1174187975

Sports Physical Therapy & Rehabilitation Specialists SC is a Physical Therapist in Mukwonago, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3

Practice location Address checks out

1231 S Rochester St Ste 210
Mukwonago, WI 53149-9032
Phone: (262) 710-9100
Fax: (262) 363-7798
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 number1174187975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juana Granados — Credentialing Manager · (630) 575-1980
Other names Athletico Physical Therapy
NPI enumeratedApril 26, 2019
Last updated in NPPESApril 26, 2019
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548

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