Individual provider Active NPI

Marilynn Toepel

  • Physical Therapist
  • Waukesha, WI
National Provider Identifier
1013541010
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6007-24 Issued in WI
Practice address
S11W29667 Summit Ave
Waukesha, WI 53188-9476
Phone
(262) 565-6124
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6007-24 WI Primary

Addresses

Primary practice location

S11W29667 Summit Ave
Waukesha, WI 53188-9476

Mailing address

W133N6242 Hummingbird Way
Menomonee Falls, WI 53051-8330
Phone (414) 322-3997

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6007-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestriders, Inc. PastSince Mar 1, 2020 Accepting new patients

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1013541010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W133N6242 HUMMINGBIRD WAY",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530518330",
            "telephone_number": "414-322-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S11W29667 SUMMIT AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531889476",
            "telephone_number": "262-565-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOEPEL",
        "first_name": "MARILYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6007-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.