Fastback Physical Therapy LLC
NPI 1104393982 · Physical Therapist · New Berlin, WI
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fastback Physical Therapy LLC is a Physical Therapist organization in New Berlin, WI (NPI 1104393982).
Provider details
- NPI number
- 1104393982
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michele Weninger, Credentialing Specialist(248) 601-9207
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2018-10-30
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Frequently asked questions
- What is Fastback Physical Therapy LLC's NPI number?
- Fastback Physical Therapy LLC's National Provider Identifier (NPI) is 1104393982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fastback Physical Therapy LLC?
- Fastback Physical Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Fastback Physical Therapy LLC located?
- Fastback Physical Therapy LLC's practice location on file with NPPES is 3333 S Sunnyslope Rd Ste 103b, New Berlin, WI 53151-4504.
- What is Fastback Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Fastback Physical Therapy LLC is (262) 853-8452.
- Does Fastback Physical Therapy LLC accept Medicare?
- Fastback Physical Therapy 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 Fastback Physical Therapy LLC?
- The authorized official listed on Fastback Physical Therapy LLC's NPPES record is Michele Weninger, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fastback Physical Therapy LLC's NPI active?
- Yes — Fastback Physical Therapy LLC's NPI (1104393982) is active in the NPPES registry as of the last update on 2024-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.