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Legacy Physiatry Group Wisconsin, LLC

Physical Medicine & Rehabilitation Physician in Brookfield, WI · enumerated 2015 · authorized official Vivek Sastry, President/Ceo.

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

National Provider Identifier

1275914483

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Registry record

Entity type Organization (Type 2)
Legal business name Legacy Physiatry Group Wisconsin, LLC
Other name <Unavail>
Practice address 200 S Executive Dr, Suite 101, Brookfield, WI, 53005
Enumeration date Jun 12, 2015
Last updated in NPPES Jun 12, 2015

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Vivek Sastry
Title President/Ceo

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

Who is the authorized official for Legacy Physiatry Group Wisconsin, LLC?
NPPES lists Vivek Sastry (President/Ceo) as the authorized official for this organization.
What is the NPI number for Legacy Physiatry Group Wisconsin, LLC?
The NPI for Legacy Physiatry Group Wisconsin, LLC is 1275914483, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-06-12.