Integra Physical Therapy,Sc
Integra Physical Therapy,Sc is a healthcare organization registered as Physical Therapy Clinic/Center in Fox Point, WI, holding Type 2 (organization) NPI 1417221433 since 2012. The authorized official on file is John Herda, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417221433 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Integra Physical Therapy,Sc |
| Practice address | 8677 N PORT WASHINGTON RD, Fox Point, WI, 53217 |
| Phone | 4143518482 |
| Fax | 4143518483 |
| Enumeration date | 2012-03-08 |
| Last updated in NPPES | 2013-04-08 |
Authorized official
| Name | John Herda |
|---|---|
| Title | Cfo |
| Phone | 4143518482 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2000X | Physical Therapy Clinic/Center | Primary | 9931 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100024282 | Medicaid | WI | — |
Copy-ready billing details
Provider: Integra Physical Therapy,Sc NPI: 1417221433 Taxonomy: 261QP2000X (Physical Therapy Clinic/Center) Address: 8677 N PORT WASHINGTON RD, Fox Point, WI, 53217
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750334041 | Erik Bork | Individual | Physical Therapist | Fox Point, WI |
| 1760410096 | Craig Peters | Individual | Physical Therapist | Milwaukee, WI |
| 1992087746 | Jeremiah Weber | Individual | Physical Therapist | Fox Point, WI |
| 1215344718 | Stephanie Smith | Individual | Physical Therapist | Fox Point, WI |
| 1033899513 | Abbey Walter | Individual | Physical Therapist | Fox Point, WI |
Verify this record
Cross-check NPI 1417221433 against the authoritative CMS record: view Integra Physical Therapy,Sc 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 type of organization is Integra Physical Therapy,Sc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-04-08.