Active NPI
Ann Marie Magnin, PT
- Physical Therapist
- Greenfield, WI
National Provider Identifier
1053456210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3611
- Practice address
- 4448 W Loomis Rd
#205
Greenfield, WI 53220-4800 - Phone
- (414) 281-5151
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3611 | WI | Primary |
Addresses
Primary practice location
4448 W Loomis Rd
#205
Greenfield, WI 53220-4800
Mailing address
2436 S 78TH St
West Allis, WI 53219-1858
Phone (414) 329-9883
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 |
|---|---|---|---|
| 3611 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053456210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2436 S 78TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532191858",
"telephone_number": "414-329-9883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4448 W LOOMIS RD",
"address_2": "#205",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204800",
"telephone_number": "414-281-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNIN",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.