Individual provider Active NPI

Michael Paffrath

  • Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1144855834
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14942-24 Issued in WI
Practice address
241 N Broadway Ste 403
Milwaukee, WI 53202-5819
Phone
(414) 446-9291
Fax
(414) 446-8618
NPI assigned
Mar 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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 14942-24 WI Primary

Addresses

Primary practice location

241 N Broadway Ste 403
Milwaukee, WI 53202-5819

Mailing address

1532 S Green Bay Rd Ste 200
Mt Pleasant, WI 53406-4468
Phone (262) 321-0240

Other practice location 1

122 Green Bay Rd Ste 110
Thiensville, WI 53092-1624
Phone (262) 395-9262

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

LicenseStateTypeSpecialty
14942-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Care Centers, S.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1144855834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 S GREEN BAY RD STE 200",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534064468",
            "telephone_number": "262-321-0240",
            "fax_number": "262-321-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N BROADWAY STE 403",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025819",
            "telephone_number": "414-446-9291",
            "fax_number": "414-446-8618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Green Bay Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Thiensville",
            "state": "WI",
            "postal_code": "530921624",
            "country_code": "US",
            "telephone_number": "262-395-9262",
            "fax_number": "262-321-0242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAFFRATH",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14942-24",
            "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 Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.