Organization
ACTIVE CARE REHAB, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER A BALIK (PRESIDENT)
(414) 228-7900
Entity
Organization
Contact information
Practice address
250 W COVENTRY CT, SUITE 204, GLENDALE, WI 53217-3972
(414) 228-7900
(414) 228-7901
Mailing address
250 W COVENTRY CT, SUITE 204, GLENDALE, WI 53217-3972
(414) 228-7900
(414) 228-7901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40423900
—
WI
05
—
40424000
—
WI
Enumeration date
07/09/2006
Last updated
07/23/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up