Healthcare Provider Details

I. General information

NPI: 1629996103
Provider Name (Legal Business Name): PT REHAB CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2499 S DELAWARE AVE
MILWAUKEE WI
53207-1941
US

IV. Provider business mailing address

2499 S DELAWARE AVE
MILWAUKEE WI
53207-1941
US

V. Phone/Fax

Practice location:
  • Phone: 262-745-7035
  • Fax:
Mailing address:
  • Phone: 262-745-7035
  • Fax: 262-745-7035

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: CATALINA HAMILTON MARTINEZ
Title or Position: OWNER
Credential: PT
Phone: 262-745-7035