Active NPI
Wendy Nicole Doerr, PTA
- Physical Therapy Assistant
- Milwaukee, WI
National Provider Identifier
1114188059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 791-019
- Practice address
- 5000 W Chambers St
Milwaukee, WI 53210-1650 - Phone
- (414) 447-2520
- NPI assigned
- Jun 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 791-019 | WI | Primary |
Addresses
Primary practice location
5000 W Chambers St
Milwaukee, WI 53210-1650
Mailing address
6175 Highland LN
Apt.1
Greendale, WI 53129-1912
Phone (414) 423-9195
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 |
|---|---|---|---|
| 791-019 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1114188059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6175 HIGHLAND LN",
"address_2": "APT.1",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531291912",
"telephone_number": "414-423-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W CHAMBERS ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101650",
"telephone_number": "414-447-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERR",
"first_name": "WENDY",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "791-019",
"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 Jun 23, 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.