Organization · Type 2 NPI

Longevity Physical Therapy and Performance S.c.

Physical Therapy Clinic/Center · Monona, WI

NPI number 1629974191 Active

Practice location

6330 Copps Ave Unit C
Monona, WI 53716-3721

Mailing address

1625 Lock Ln Apt 138
Madison, WI 53704-9111

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center Primary 261QP2000XNone listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

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About NPI 1629974191

Longevity Physical Therapy and Performance S.c.'s National Provider Identifier is 1629974191, issued on Oct 20, 2026. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Monona, WI. The record was last updated on Oct 20, 2026.