Active NPI
John Szivecz, MPT
- Physical Therapist
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9602-24
- Practice address
- 717 W Moreland Blvd
Prohealth Care Medical Associates Moreland Family Medic
Waukesha, WI 53188-2432 - Phone
- (262) 542-9100
- Fax
- (262) 542-7366
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- 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 | 9602-24 | WI | Primary |
Addresses
Primary practice location
717 W Moreland Blvd
Prohealth Care Medical Associates Moreland Family Medic
Waukesha, WI 53188-2432
Mailing address
2001 Butterfield Rd
Downers Grove, IL 60515-1050
Other practice location 1
N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone (262) 303-5055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100031968 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131014000305 | WI | Practitioner - Physical Therapist in Private Practice | 7012141724 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic Associates of Wisconsin SC
Practice addresses (Care Compare)
N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone (262) 303-5055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9602-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Associates of Wisconsin, SC | Current | Accepting new patients | |
| Athletic & Therapeutic Institute of Milwaukee LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Associates of Wisconsin SC | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
2001 Butterfield Rd
Downers Grove, IL 60515
Phone (630) 537-0941
1231 S Rochester St
Ste 100
Mukwonago, WI 53149
S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200
N15W28300 Golf Rd
Pewaukee, WI 53072
1170 W Sunset Dr
Spc E120
Waukesha, WI 53189
Phone (262) 832-0205
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Pewaukee, WI
- NPI 1689656951
WI
-
- Physical Therapist
- Pewaukee, WI
- NPI 1801907464
-
- Orthopaedic Surgery Physician
- Mukwonago, WI
- NPI 1720433790
-
- Orthopaedic Surgery Physician
- Brookfield, WI
- NPI 1952756769
-
- Physical Therapist
- Wauwatosa, WI
- NPI 1104138486
-
- Durable Medical Equipment & Medical Supplies
- Sheboygan, WI
- NPI 1558956722
Physical Therapist
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1124154737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 W MORELAND BLVD",
"address_2": "PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531882432",
"telephone_number": "262-542-9100",
"fax_number": "262-542-7366"
}
],
"practiceLocations": [
{
"address_1": "N15W28300 Golf Rd",
"address_purpose": "LOCATION",
"city": "Pewaukee",
"state": "WI",
"postal_code": "530724800",
"country_code": "US",
"telephone_number": "262-303-5055",
"fax_number": "262-303-5057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SZIVECZ",
"first_name": "JOHN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9602-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100031968",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.