Active NPI
Carolyn Gurney
- Physical Therapist
- Racine, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13657-24
- Practice address
- 6101 16TH St
Racine, WI 53406-4467 - Phone
- (262) 898-2777
- Fax
- (262) 637-7851
- NPI assigned
- Apr 12, 2017
- 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 | 13657-24 | WI | Primary |
Addresses
Primary practice location
6101 16TH St
Racine, WI 53406-4467
Mailing address
6101 16TH St
Racine, WI 53406-4467
Phone (262) 898-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871677963 | Other | WI | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220706002742 | WI | Practitioner - Physical Therapist in Private Practice | 3375923501 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5715 N Meade St
Appleton, WI 54913-8364
Phone (608) 344-2495
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
25025 75th St
Salem, WI 53168
Phone (262) 234-0015
1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Appleton, WI
- NPI 1134844848
Physical Therapist, WI
-
- Multi-Specialty Clinic/Center
- Oshkosh, WI
- NPI 1386381598
Physical Therapist, WI
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1003174087
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Physical Therapist
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1083148563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 16TH ST",
"city": "RACINE",
"state": "WI",
"postal_code": "534064467",
"telephone_number": "262-898-2777",
"fax_number": "262-637-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 16TH ST",
"city": "RACINE",
"state": "WI",
"postal_code": "534064467",
"telephone_number": "262-898-2777",
"fax_number": "262-637-7851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURNEY",
"first_name": "CAROLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13657-24",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1871677963",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.