Provider Demographics
NPI:1194929190
Name:POINT FORWARD PHYSICAL THERAPY LTD.
Entity type:Organization
Organization Name:POINT FORWARD PHYSICAL THERAPY LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:JAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:715-570-1022
Mailing Address - Street 1:3217 JOHN JOANIS DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481
Mailing Address - Country:US
Mailing Address - Phone:715-570-1022
Mailing Address - Fax:
Practice Address - Street 1:3217 JOHN JOANIS DR
Practice Address - Street 2:SUITE D
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481
Practice Address - Country:US
Practice Address - Phone:715-570-1022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5962-024261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy