Individual provider Active NPI

Caitlin Wyman, DPT

  • Physical Therapist
  • Greenfield, WI
National Provider Identifier
1104259415
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9367 Issued in MN
Practice address
4861 S 27TH St
Greenfield, WI 53221-2603
Phone
(414) 325-3325
Fax
(414) 325-3334
NPI assigned
Aug 11, 2013
Last updated
Aug 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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 9367 MN Primary

Addresses

Primary practice location

4861 S 27TH St
Greenfield, WI 53221-2603

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131127000223 WI Practitioner - Physical Therapist in Private Practice 4789810557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1025 N Washburn St
Oshkosh, WI 54904-7725
Phone (920) 456-8099

3212 E Calumet St
Appleton, WI 54915-4168
Phone (920) 757-2317

727 W Johnson St
Fond Du Lac, WI 54935-2015
Phone (920) 581-0111

S74W16845 Janesville Rd
Muskego, WI 53150-8618
Phone (262) 971-4200

Merit-based Incentive Payment System (MIPS)

Final score
83.05 of 100Reported as group
Quality
88.38
Improvement activities
40
Cost
64.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9367MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic & Therapeutic Institute of Milwaukee LLC Physical Therapist CurrentSince Jun 27, 2016 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Jun 27, 2016 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Current Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

3212 E Calumet St
Ste E
Appleton, WI 54915
Phone (920) 757-2317

727 W Johnson St
Fond du Lac, WI 54935
Phone (920) 581-0111

7224 118th Ave
Ste E
Kenosha, WI 53142
Phone (262) 857-4400

4861 S 27th St
Milwaukee, WI 53221
Phone (414) 325-3325

5502 Washington Ave
Ste 500
Mount Pleasant, WI 53406
Phone (262) 637-2470

S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200

15312 W Beloit Rd
New Berlin, WI 53151
Phone (262) 641-5771

600 W Drexel Ave
#150
Oak Creek, WI 53154
Phone (414) 563-1045

1025 N Washburn St
Oshkosh, WI 54904
Phone (920) 456-8099

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1104259415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 S 27TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212603",
            "telephone_number": "414-325-3325",
            "fax_number": "414-325-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMAN",
        "first_name": "CAITLIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-11",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.