Active NPI
Elizabeth L Paly, PT DPT
- Physical Therapist
- Brown Deer, WI
National Provider Identifier
1093974701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2532 024
- Practice address
- 4301 W Brown Deer Rd
Brown Deer, WI 53223-2400 - Phone
- (414) 357-7072
- Fax
- (414) 355-2767
- NPI assigned
- Jun 6, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2532 024 | WI | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 2532 024 | WI |
Addresses
Primary practice location
4301 W Brown Deer Rd
Brown Deer, WI 53223-2400
Mailing address
4301 W Brown Deer Rd
Brown Deer, WI 53223-2400
Phone (414) 357-7072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390816857 | Other | WI | TAX IDENTIFICATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2532 024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1093974701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W BROWN DEER RD",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532232400",
"telephone_number": "414-357-7072",
"fax_number": "414-355-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W BROWN DEER RD",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532232400",
"telephone_number": "414-357-7072",
"fax_number": "414-355-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALY",
"first_name": "ELIZABETH",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2532 024",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "2532 024",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION",
"identifier": "390816857",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brown Deer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.