Active NPI
Natalie Connelly
- Physical Therapist
- Oak Creek, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1467324
- Practice address
- Drexel Town Square Health Center
7901 S. 6TH St
Oak Creek, WI 53154-2010 - Phone
- (414) 346-8000
- NPI assigned
- Jul 8, 2020
- 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 | 1467324 | WI | Primary |
Addresses
Primary practice location
Drexel Town Square Health Center
7901 S. 6TH St
Oak Creek, WI 53154-2010
Mailing address
Drexel Town Square Health Center
7901 S. 6TH Street
Oak Creek, WI 53154-2010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1467324 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Physical Therapist | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
199 Cty Df
Juneau, WI 53039
Phone (262) 735-8005
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
7901 S 6th St
Oak Creek, WI 53154
Phone (414) 346-8000
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Organizations & group practices 5
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.
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- Physical Therapist
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- NPI 1245755487
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- NPI 1154947224
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- Internal Medicine Physician
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- NPI 1699720086
Physical Therapist
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- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1124646070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DREXEL TOWN SQUARE HEALTH CENTER",
"address_2": "7901 S. 6TH STREET",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DREXEL TOWN SQUARE HEALTH CENTER",
"address_2": "7901 S. 6TH ST",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542010",
"telephone_number": "414-346-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "NATALIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2023-05-09",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1467324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.