Active NPI
James W. Stevens
- Physical Therapist
- Milwaukee, WI
National Provider Identifier
1255527644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2730
- Practice address
- 11333 W National Ave
Milwaukee, WI 53227-3111 - Phone
- (414) 327-2295
- NPI assigned
- Sep 19, 2007
- 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 | 2730 | WI | Primary |
Addresses
Primary practice location
11333 W National Ave
Milwaukee, WI 53227-3111
Mailing address
11333 W National Ave
Milwaukee, WI 53227-3111
Phone (414) 327-2295
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40251700 | Medicaid | WI | |
| 2730 | Other | WI | WI P.T. LICENSE |
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 |
|---|---|---|---|
| 2730 | WI | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1255527644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11333 W NATIONAL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532273111",
"telephone_number": "414-327-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11333 W NATIONAL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532273111",
"telephone_number": "414-327-2295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JAMES",
"middle_name": "W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40251700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI P.T. LICENSE",
"identifier": "2730",
"state": "WI"
}
],
"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 Sep 19, 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.