Individual provider Active NPI

Eric King, DPT

  • Physical Therapist
  • Wauwatosa, WI
National Provider Identifier
1013587260
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15492-24 Issued in WI
Practice address
10930 W Potter Rd Ste C
Wauwatosa, WI 53226-3450
Phone
(414) 400-6556
Fax
(414) 400-6557
NPI assigned
Jun 30, 2021
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 15492-24 WI Primary

Addresses

Primary practice location

10930 W Potter Rd Ste C
Wauwatosa, WI 53226-3450

Mailing address

10930 W Potter Rd Ste C
Wauwatosa, WI 53226-3450
Phone (414) 400-6556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727002430 WI Practitioner - Physical Therapist in Private Practice 7214330380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aretas01 LLCGroup PAC ID 0244699460, 5 clinicians

Practice addresses (Care Compare)

10930 W Potter Rd
Suite C
Wauwatosa, WI 53226-3450
Phone (414) 400-6556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15492-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 22, 2021 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 22, 2021 Accepting new patients
Aretas01, LLC Physical Therapist CurrentSince May 27, 2023 Accepting new patients

Locations

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

11363 N Port Washington Rd
Mequon, WI 53092
Phone (262) 833-2060

10930 W Potter Rd
Ste C
Wauwatosa, WI 53226
Phone (414) 400-6556

813 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 452-9000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1013587260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 W POTTER RD STE C",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263450",
            "telephone_number": "414-400-6556",
            "fax_number": "414-400-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 W POTTER RD STE C",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263450",
            "telephone_number": "414-400-6556",
            "fax_number": "414-400-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15492-24",
            "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 Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.