Sundance Rehabilitation LLC
NPI 1073912119 · Rehabilitation Clinic/Center · Deforest, WI
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sundance Rehabilitation LLC is a Rehabilitation Clinic/Center organization in Deforest, WI (NPI 1073912119).
Provider details
- NPI number
- 1073912119
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ian Oppel, Coo(980) 254-7007
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 597 Kingswood AveFond Du Lac, WI 54935-6399Phone: (920) 238-3032
Registry dates
- Enumerated
- 2014-08-14
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Frequently asked questions
- What is Sundance Rehabilitation LLC's NPI number?
- Sundance Rehabilitation LLC's National Provider Identifier (NPI) is 1073912119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sundance Rehabilitation LLC?
- Sundance Rehabilitation LLC is classified in the NPPES registry as Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sundance Rehabilitation LLC located?
- Sundance Rehabilitation LLC's practice location on file with NPPES is 6902 Parkside Cir, Deforest, WI 53532-2560.
- What is Sundance Rehabilitation LLC's phone number?
- The practice phone number listed in the NPPES registry for Sundance Rehabilitation LLC is (610) 925-4560.
- Does Sundance Rehabilitation LLC accept Medicare?
- Sundance Rehabilitation LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sundance Rehabilitation LLC?
- The authorized official listed on Sundance Rehabilitation LLC's NPPES record is Ian Oppel, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sundance Rehabilitation LLC's NPI active?
- Yes — Sundance Rehabilitation LLC's NPI (1073912119) is active in the NPPES registry as of the last update on 2025-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.