OrganizationActive
Sports Physical Therapy & Rehab Specialist Sc
NPI 1831641844 · Physical Therapist · Salem, WI
Provider details
- NPI number
- 1831641844
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Geri Cook, Vp of Billing Operations(630) 575-1940
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
25250 75th St
Salem, WI 53168-8705
Phone: (262) 843-4200
Street-level locationGet directions
Mailing address
600 Oakmont Ln # 600c
Westmont, IL 60559-5548
Registry dates
- Enumerated
- 2016-10-26
- Last updated
- 2018-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.