Organization
IVYREHAB WISCONSIN PEDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY GRIFFITHS (DIRECTOR OF PAYER RELATIONS)
(914) 294-4050
Entity
Organization
Contact information
Practice address
19601 W BLUEMOUND RD STE 120, BROOKFIELD, WI 53045-5974
(262) 771-0065
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/05/2023
Last updated
11/03/2025
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