# GENOA CITY PHYSICAL THERAPY

> 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:** 1164720587
- **Authorized official:** NICHOLAS A BATSON DPT (OWNER)
- **Authorized official phone:** (847) 254-1708

## Contact information

- **Practice address:** 313 FREEMAN STREET, GENOA CITY, WI 53128
- **Practice address phone:** (262) 279-8000
- **Practice address fax:** (262) 295-8799
- **Mailing address:** 5809 ROCKY BRANCH RD, SIGNAL MOUNTAIN, TN 37377-1338
- **Mailing address phone:** (847) 254-1708
- **Mailing address fax:** (423) 269-8746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 9814-24 | WI | Yes |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 02/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100015187 | — | WI |