Active NPI
Renee M Mazurek, MPT
- Physical Therapist
- Cedarburg, WI
National Provider Identifier
1104827047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5415-024
- Practice address
- W63N541 Hanover Ave
Cedarburg, WI 53012-1917 - Phone
- (262) 375-2195
- NPI assigned
- Aug 2, 2005
- 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 | 5415-024 | WI | Primary |
Addresses
Primary practice location
W63N541 Hanover Ave
Cedarburg, WI 53012-1917
Mailing address
W153N11856 Daniels Dr
Germantown, WI 53022-2066
Phone (262) 250-1255
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5415-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Hospital of Wisconsin, LLC | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Glendale, WI
- NPI 1669584983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104827047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W153N11856 DANIELS DR",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530222066",
"telephone_number": "262-250-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W63N541 HANOVER AVE",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530121917",
"telephone_number": "262-375-2195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUREK",
"first_name": "RENEE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5415-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedarburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.