Individual provider Active NPI

Sierra Patzke, DPT, PT

  • Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1174062913
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15040 Issued in WI
Practice address
1029 N Jackson St Apt 810
Milwaukee, WI 53202-7140
Phone
(715) 321-3603
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 15040 WI Primary

Addresses

Primary practice location

1029 N Jackson St Apt 810
Milwaukee, WI 53202-7140

Mailing address

1029 N Jackson St Apt 810
Milwaukee, WI 53202-7140
Phone (715) 321-3603

Other practice location 1

5261 N Port Washington Rd
Glendale, WI 53217-4903
Phone (414) 332-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005000071 WI Practitioner - Physical Therapist in Private Practice 8325493760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Orthopedic Specialty Hospital, LLCGroup PAC ID 7113078833, 65 clinicians

Practice addresses (Care Compare)

8201 S Howell Ave
Suite 400
Oak Creek, WI 53154-8336
Phone (414) 295-9045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Aug 22, 2023 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Sep 16, 2024 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Sep 16, 2024 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC Current Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Aug 22, 2023 Accepting new patients

Locations

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

5333 N Port Washington Rd
Ste B
Glendale, WI 53217
Phone (414) 716-1770

11363 N Port Washington Rd
Mequon, WI 53092
Phone (262) 833-2060

8201 S Howell Ave
Ste 400
Oak Creek, WI 53154
Phone (414) 295-9045

813 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 452-9000

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.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1174062913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 N JACKSON ST APT 810",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532027140",
            "telephone_number": "715-321-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 N JACKSON ST APT 810",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532027140",
            "telephone_number": "715-321-3603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5261 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532174903",
            "country_code": "US",
            "telephone_number": "414-332-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATZKE",
        "first_name": "SIERRA",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15040",
            "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 Aug 26, 2020; 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.

Verify at the official NPI Registry.