Active NPI
Michelle M Kreiter, PT
- Physical Therapist
- Racine, WI
National Provider Identifier
1154457604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4328-024
- Practice address
- 4214 Sheridan Rd
Racine, WI 53403-4142 - Phone
- (262) 554-5006
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 4328-024 | WI | Primary |
Addresses
Primary practice location
4214 Sheridan Rd
Racine, WI 53403-4142
Mailing address
W314S8909 Wigwam Dr
Mukwonago, WI 53149-8887
Phone (262) 363-0823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40201600 | 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 |
|---|---|---|---|
| 4328-024 | WI | MD | Physical Therapist |
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": "1183852800000",
"number": "1154457604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W314S8909 WIGWAM DR",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531498887",
"telephone_number": "262-363-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4214 SHERIDAN RD",
"city": "RACINE",
"state": "WI",
"postal_code": "534034142",
"telephone_number": "262-554-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREITER",
"first_name": "MICHELLE",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4328-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40201600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Racine, 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.