Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sport Clinic of Greater Milwaukee

Organization Physical Therapist · NPI 1275628208

Sport Clinic of Greater Milwaukee provides Physical Therapist services in Wauwatosa, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

11904 W North Ave Ste 100
Wauwatosa, WI 53226-2062
Phone: (414) 453-8616
Fax: (414) 453-6150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1275628208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Becker — C.F.O. · (414) 453-8616
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address11904 W North Ave, Ste 100, Wauwatosa, WI 53226-2062

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