Fastback Physical Therapy LLC
Fastback Physical Therapy LLC is a healthcare organization registered as Physical Therapist in New Berlin, WI, holding Type 2 (organization) NPI 1104393982 since 2018. The authorized official on file is Michele Weninger, Credentialing Specialist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104393982 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fastback Physical Therapy LLC |
| Practice address | 3333 S SUNNYSLOPE RD STE 103B, New Berlin, WI, 53151 |
| Phone | 2628538452 |
| Enumeration date | 2018-10-30 |
| Last updated in NPPES | 2024-08-06 |
Authorized official
| Name | Michele Weninger |
|---|---|
| Title | Credentialing Specialist |
| Phone | 2486019207 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 225100000X | Physical Therapist | Primary | — | — |
Copy-ready billing details
Provider: Fastback Physical Therapy LLC NPI: 1104393982 Taxonomy: 225100000X (Physical Therapist) Address: 3333 S SUNNYSLOPE RD STE 103B, New Berlin, WI, 53151
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326071200 | Patrick Barron | Individual | Physical Therapist | New Berlin, WI |
| 1881205854 | Samuel Marusic | Individual | Physical Therapist | New Berlin, WI |
Verify this record
Cross-check NPI 1104393982 against the authoritative CMS record: view Fastback Physical Therapy LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Fastback Physical Therapy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-08-06.