OrganizationActive
Back on Track Physical Therapy, LLC
NPI 1720052798 · Physical Therapy Clinic/Center · Oconomowoc, WI
Provider details
- NPI number
- 1720052798
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jill Johnston, Owner
Practice location
W359n5002 Brown St
Suite B
Oconomowoc, WI 53066-3366
Phone: (262) 560-4200
Mailing address
1622 Tallgrass Circle
Waukesha, WI 53188
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.