Healthcare Provider Details
I. General information
NPI: 1508721929
Provider Name (Legal Business Name): STAYWELL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
818 WOODWARD DR
MADISON WI
53704-2238
US
IV. Provider business mailing address
818 WOODWARD DR
MADISON WI
53704-2238
US
V. Phone/Fax
- Phone: 314-630-2638
- Fax:
- Phone: 314-630-2638
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SABRINA
B
HILTON
Title or Position: OT
Credential: OTD
Phone: 314-630-2638