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Form & Fitness

Physical Therapist in Mequon, WI · enumerated 2007 · authorized official Ben Quist, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063612067

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Registry record

Entity type Organization (Type 2)
Legal business name Form & Fitness
Practice address 11053 N Port Washington Rd, Mequon, WI, 53092
Phone (262) 241-3449
Fax (262) 241-5229
Enumeration date Jul 19, 2007
Last updated in NPPES Jul 19, 2007

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Ben Quist
Title President
Phone (262) 241-3449

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Form & Fitness?
Form & Fitness is registered in NPPES as a Physical Therapist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-19.