# LJN THERAPY, SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073718771
- **Authorized official:** DR. LARRY JOHN NOSSE PT (PRESIDENT)
- **Authorized official phone:** (414) 453-0135

## Contact information

- **Practice address:** 1404 W WISCONSIN AVE, MILWAUKEE, WI 53233-2238
- **Practice address phone:** (414) 288-1757
- **Mailing address:** 2345 N 114TH ST, WAUWATOSA, WI 53226-1225
- **Mailing address phone:** (414) 453-0135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1246 | WI | Yes |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 07/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1326110859 | INDIVIDUAL NPI | — |
| 05 | — | 40429500 | — | WI |