Healthcare Provider Details

I. General information

NPI: 1326732363
Provider Name (Legal Business Name): JAMES SZOPINSKI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N81W15014 APPLETON AVE
MENOMONEE FALLS WI
53051-3839
US

IV. Provider business mailing address

33900 HARPER AVE STE 104
CLINTON TWP MI
48035-4258
US

V. Phone/Fax

Practice location:
  • Phone: 262-714-7040
  • Fax: 262-714-7041
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17729-24
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: