Fastback Physical Therapy LLC in New Berlin, WI
This organization bills under NPI 1104393982, an organization record issued on Oct 30, 2018 with the primary taxonomy Physical Therapist. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1104393982
- Legal name
- Fastback Physical Therapy LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Physical Therapist 225100000X
- Practice location
- 3333 S SUNNYSLOPE RD STE 103B, New Berlin, WI 53151
- Phone
- 262-853-8452
- Mailing address
- Rochester Hills, MI
- Enumerated
- Oct 30, 2018
- Record updated
- Aug 6, 2024
- Authorized official
- Credentialing Specialist (title as filed)
2 clinicians CMS lists with Fastback Physical Therapy in New Berlin
- Patrick BarronPhysical Therapist1326071200
- Angela GiangiulioSpeech-Language Pathologist1386212447
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Wisconsin secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 101YM0800X Mental Health Counselor
- 225100000X Physical Therapist
Common questions
Why is the mailing address in Michigan?
The mailing address in the record (Rochester Hills, MI) is where the organization receives mail. Care is given at the practice location in New Berlin.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.