Healthcare Provider Details

I. General information

NPI: 1457268245
Provider Name (Legal Business Name): THOMPSON PELVIC HEALTH AND PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 S BUTLER ST STE 250
MADISON WI
53703-5606
US

IV. Provider business mailing address

419 N FEW ST
MADISON WI
53703-1717
US

V. Phone/Fax

Practice location:
  • Phone: 608-354-6685
  • Fax:
Mailing address:
  • Phone: 608-843-4478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH FITZGERALD THOMPSON
Title or Position: OWNER
Credential: DPT
Phone: 608-843-4478