Active NPI
Robert A Kroll, PT
- Physical Therapist
- Oak Creek, WI
National Provider Identifier
1154412377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2943-024
- Practice address
- 8825 S. Howell Ave
Suite 102
Oak Creek, WI 53154 - Phone
- (414) 570-0441
- Fax
- (414) 570-0442
- NPI assigned
- Sep 27, 2006
- 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 | 2943-024 | WI | Primary |
Addresses
Primary practice location
8825 S. Howell Ave
Suite 102
Oak Creek, WI 53154
Mailing address
3126 N. 104TH St.
Wauwatosa, WI 53222
Phone (414) 257-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 526590 | Medicaid | WI |
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 |
|---|---|---|---|
| 2943-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Return to Work & Sports Center, Inc | Physical Therapist | 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.
-
- Occupational Therapist
- Oak Creek, WI
- NPI 1174557425
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154412377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 N. 104TH ST.",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "53222",
"telephone_number": "414-257-3937",
"fax_number": "414-570-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8825 S. HOWELL AVE",
"address_2": "SUITE 102",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "53154",
"telephone_number": "414-570-0441",
"fax_number": "414-570-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROLL",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2943-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "526590",
"state": "WI"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.