OrganizationActive
Ideal Physical Therapy LLC
NPI 1245879048 · Physical Therapy Clinic/Center · Cedarburg, WI
Provider details
- NPI number
- 1245879048
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Greg Fernandez, Physical Therapist(414) 232-8382
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
N69w5289 Columbia Rd
Cedarburg, WI 53012-2156
Phone: (414) 232-8382
Approximate (ZIP-level) locationGet directions
Mailing address
N69w5289 Columbia Rd
Cedarburg, WI 53012-2156
Registry dates
- Enumerated
- 2019-12-27
- Last updated
- 2019-12-27
- Certified
- 2019-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.