Individual provider Active NPI

Mary Paula Mueller, PT

  • Physical Therapist
  • West Allis, WI
National Provider Identifier
1063483410
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1285024 Issued in WI
Practice address
8802 W Becher St
West Allis, WI 53227-1628
Phone
(414) 541-1118
Fax
(414) 541-3066
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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 1285024 WI Primary

Addresses

Primary practice location

8802 W Becher St
West Allis, WI 53227-1628

Mailing address

8802 W Becher St
West Allis, WI 53227-1628
Phone (414) 541-1118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060106000224 WI Practitioner - Physical Therapist in Private Practice 4486677317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thera-Dynamics SCGroup PAC ID 8820010317, 11 clinicians

Practice addresses (Care Compare)

8800 W Lincoln Ave
West Allis, WI 53227-2400
Phone (414) 541-1118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1285024WIMDPhysical Therapist
1285WIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Thera-Dynamics, S.C. Physical Therapist CurrentSince Nov 16, 2005 Accepting new patients

Locations

7708 W Good Hope Rd
Milwaukee, WI 53223
Phone (414) 541-1118

2121 S Kinnickinnic Ave
Ste 3
Milwaukee, WI 53207
Phone (414) 541-1118

613 N 36th St
Unit 300
Milwaukee, WI 53208
Phone (414) 344-4100

8800 W Lincoln Ave
West Allis, WI 53227
Phone (414) 541-1118

8802 W Becher St
West Allis, WI 53227
Phone (414) 541-1118

Organizations & group practices 2

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1063483410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8802 W BECHER ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271628",
            "telephone_number": "414-541-1118",
            "fax_number": "414-541-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8802 W BECHER ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271628",
            "telephone_number": "414-541-1118",
            "fax_number": "414-541-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MARY",
        "middle_name": "PAULA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1285024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.