Provider Demographics
NPI:1992857387
Name:POST REHABILITATION, INC.
Entity Type:Organization
Organization Name:POST REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:BEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:262-551-9400
Mailing Address - Street 1:2047 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53140-4602
Mailing Address - Country:US
Mailing Address - Phone:262-551-9400
Mailing Address - Fax:262-551-9416
Practice Address - Street 1:2047 22ND AVE
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53140-4602
Practice Address - Country:US
Practice Address - Phone:262-551-9400
Practice Address - Fax:262-551-9416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1519-024261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41207200Medicaid
WI41207200Medicaid
WI=========OtherCHAMPUS TRICARE
WI=========017OtherBLUE CROSSBLUE SHIELD