Active NPI
Kari N Roebbeke, PT
- Physical Therapist
- Milwaukee, WI
National Provider Identifier
1174814834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6343
- Practice address
- 7878 N 76TH St
Milwaukee, WI 53223-3914 - Phone
- (414) 354-6434
- Fax
- (414) 586-5745
- NPI assigned
- Apr 28, 2011
- 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 | 6343 | WI | Primary |
Addresses
Primary practice location
7878 N 76TH St
Milwaukee, WI 53223-3914
Mailing address
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
Other names 1
- Kari A Nieth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110617000612 | WI | Practitioner - Physical Therapist in Private Practice | 6507044781 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6343 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1174814834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 W GOOD HOPE RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532092042",
"telephone_number": "414-352-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7878 N 76TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532233914",
"telephone_number": "414-354-6434",
"fax_number": "414-586-5745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEBBEKE",
"first_name": "KARI",
"middle_name": "N",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "6343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARI",
"last_name": "NIETH",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}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 Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.