Provider Demographics
NPI:1033630199
Name:DELIVER THERAPY AND REHABILITATION, LLC
Entity Type:Organization
Organization Name:DELIVER THERAPY AND REHABILITATION, LLC
Other - Org Name:DELIVER REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WERNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:608-571-2661
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54451-0399
Mailing Address - Country:US
Mailing Address - Phone:608-571-2661
Mailing Address - Fax:
Practice Address - Street 1:6701 SEYBOLD RD STE 109
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1388
Practice Address - Country:US
Practice Address - Phone:608-571-2661
Practice Address - Fax:608-535-6229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty