Individual provider Active NPI

Aida Munoz, PTA

  • Physical Therapy Assistant
  • Milwaukee, WI
National Provider Identifier
1083254916
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
279019 Issued in WI
Practice address
3906 S 27TH St
Milwaukee, WI 53221-1826
Phone
(414) 286-3444
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 279019 WI Primary

Addresses

Primary practice location

3906 S 27TH St
Milwaukee, WI 53221-1826

Mailing address

3906 S 27TH St
Milwaukee, WI 53221-1826
Phone (414) 281-3444

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
279019WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy of Milwaukee, LLC CurrentSince Jan 12, 2020 Accepting new patients

Locations

3906 S 27th St
Milwaukee, WI 53221
Phone (414) 281-3444

Organizations & group practices 1

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1083254916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211826",
            "telephone_number": "414-281-3444",
            "fax_number": "414-281-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211826",
            "telephone_number": "414-286-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "AIDA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "279019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.