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Sports Physical Therapy & Rehab Specialists, S.C.

Physical Therapist in Kenosha, WI · enumerated 2006 · authorized official Juana Fernandez, Credentialing Manager.

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

National Provider Identifier

1326150624

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Registry record

Entity type Organization (Type 2)
Legal business name Sports Physical Therapy & Rehab Specialists, S.C.
Other name <Unavail>
Practice address 3915 30th Ave, Kenosha, WI, 53144
Fax (262) 657-7190
Enumeration date Aug 31, 2006
Last updated in NPPES Jan 11, 2016

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Juana Fernandez
Title Credentialing Manager

Other identifiers

Identifier Type State Issuer
000085940 Other WI MEDICARE
000086040 Other WI MEDICARE
4919795 Other IL BCBS OF IL
CG8674 Other IL RAILROAD MEDICARE NUMBER
WI2660 Other WI MEDICARE
40415400 Medicaid WI -
CJ6927 Other WI RAILROAD MEDICARE NUMBER

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 is the NPI number for Sports Physical Therapy & Rehab Specialists, S.C.?
The NPI for Sports Physical Therapy & Rehab Specialists, S.C. is 1326150624, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Sports Physical Therapy & Rehab Specialists, S.C.?
NPPES lists Juana Fernandez (Credentialing Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-11.