# JANESVILLE PHYSICAL THERAPY AND REHAB SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1760495964
- **Authorized official:** LARRY BRIAND PT (MANAGING MEMBER)
- **Authorized official phone:** (877) 552-2996

## Contact information

- **Practice address:** 4323 MILTON AVE, SUITE 201, JANESVILLE, WI 53546-9802
- **Practice address phone:** (608) 757-1840
- **Practice address fax:** (608) 757-1881
- **Mailing address:** PO BOX 3497, STURTEVANT, WI 53177-0300
- **Mailing address phone:** (877) 552-2996
- **Mailing address fax:** (866) 245-8064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5817024 | WI | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 10/27/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 40426900 | — | WI |
| 01 | — | DP2569 | RAILROAD MEDICARE | WI |