Provider Demographics
NPI:1205862133
Name:HAMMER REHAB & FITNESS, LTD
Entity Type:Organization
Organization Name:HAMMER REHAB & FITNESS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:262-662-9760
Mailing Address - Street 1:221 MUIRFIELD CT
Mailing Address - Street 2:
Mailing Address - City:NORTH PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53153-9617
Mailing Address - Country:US
Mailing Address - Phone:262-662-9760
Mailing Address - Fax:262-662-9761
Practice Address - Street 1:955 MAIN ST STE C&D
Practice Address - Street 2:
Practice Address - City:MUKWONAGO
Practice Address - State:WI
Practice Address - Zip Code:53149-1752
Practice Address - Country:US
Practice Address - Phone:262-662-9760
Practice Address - Fax:262-662-9761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI81066Medicare ID - Type UnspecifiedPHYSICAL THERAPY GROUP
WI000081056Medicare PIN
WI1205862133Medicare PIN