=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801779384
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUE FIT PHYSICAL THERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2025
-----------------------------------------------------
Last Update Date | 07/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 425 W COTTAGE GROVE RD STE C
-----------------------------------------------------
City | COTTAGE GROVE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53527-9802
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-651-0256
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 405 TYANNA CT
-----------------------------------------------------
City | COTTAGE GROVE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53527-9331
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-651-0256
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICAL THERAPIST
-----------------------------------------------------
Name | MS. LISA MARIE PIETROWIAK
-----------------------------------------------------
Credential | DPT
-----------------------------------------------------
Telephone | 414-651-0256
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------