Individual provider Active NPI

Carolyn Gurney

  • Physical Therapist
  • Racine, WI
National Provider Identifier
1083148563
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13657-24 Issued in WI
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

Updated by the provider on Apr 12, 2017

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 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

IdentifierTypeStateIssuer
1871677963OtherWINPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

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

OrganizationSpecialtyStatusNew patients
Oasis Therapy Services LLC Physical Therapist CurrentSince Jun 22, 2022 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jul 22, 2023 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jul 22, 2023 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Aug 29, 2022 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.

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.

Verify at the official NPI Registry.