Provider Demographics
NPI:1134181894
Name:PHYSICAL THERAPY SOLUTIONS, INC.
Entity type:Organization
Organization Name:PHYSICAL THERAPY SOLUTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:HYKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:920-885-6801
Mailing Address - Street 1:124 MONROE STREET
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAM
Mailing Address - State:WI
Mailing Address - Zip Code:53916-2437
Mailing Address - Country:US
Mailing Address - Phone:920-885-6801
Mailing Address - Fax:920-885-6810
Practice Address - Street 1:124 MONROE STREET
Practice Address - Street 2:
Practice Address - City:BEAVER DAM
Practice Address - State:WI
Practice Address - Zip Code:53916-2437
Practice Address - Country:US
Practice Address - Phone:920-885-6801
Practice Address - Fax:920-885-6810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40424500Medicaid
WI40424500Medicaid