Active NPI
Michelle Keating, DPT
- Geriatric Physical Therapist
- Wauwatosa, WI
National Provider Identifier
1003365313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 13474-24
- Practice address
- 7500 W North Ave
Wauwatosa, WI 53213-1717 - Phone
- (414) 258-6170
- NPI assigned
- Sep 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 13474-24 | WI | Primary |
Addresses
Primary practice location
7500 W North Ave
Wauwatosa, WI 53213-1717
Mailing address
2218 N Summit Ave Apt 304
Milwaukee, WI 53202-1230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13474-24 | WI | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracle Home Health of Wisconsin Inc | Geriatrics | Current | Accepting new patients |
Locations
7545 N Port Washington Rd
Ste 3
Glendale, WI 53217
Phone (414) 797-2254
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1003365313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 N SUMMIT AVE APT 304",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532021230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 W NORTH AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131717",
"telephone_number": "414-258-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATING",
"first_name": "MICHELLE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "WI",
"license": "13474-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.