Active NPI
Teresa Birmingham, DPT
- Physical Therapist
- Mequon, WI
National Provider Identifier
1255266995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1784324
- Practice address
- 11430 N Port Washington Rd
Mequon, WI 53092-3414 - Phone
- (262) 518-1900
- NPI assigned
- Jun 15, 2026
- 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 | 1784324 | WI | Primary |
Addresses
Primary practice location
11430 N Port Washington Rd
Mequon, WI 53092-3414
Mailing address
236 N 73Rd St
Milwaukee, WI 53213-3621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
N74W12501 Leatherwood CT
Menomonee Falls, WI 53051
Woodland Prime
400 N74 W12501 Leatherwood Court
Menomonee Falls, WI 53051-4490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1255266995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 N 73RD ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532133621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11430 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923414",
"telephone_number": "262-518-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRMINGHAM",
"first_name": "TERESA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1784324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.