Active NPI
Kaitlin Hong, DPT, ATC/L
- Physical Therapist
- Milwaukee, WI
National Provider Identifier
1255729901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11877
- Practice address
- 3365 S 103Rd St Ste 150
Milwaukee, WI 53227-4161 - Phone
- (414) 607-5280
- NPI assigned
- Jan 5, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 11877 | WI | |
| Athletic Trainer | 2255A2300X | 1222 | WI | |
| Physical Therapist | 225100000X | 11877 | WI | Primary |
Addresses
Primary practice location
3365 S 103Rd St Ste 150
Milwaukee, WI 53227-4161
Mailing address
3365 S 103Rd St Ste 150
Milwaukee, WI 53227-4161
Other practice location 1
7137 236th Ave Ste 101
Salem, WI 53168-8975
Phone (262) 925-5060
Other practice location 2
10222 74th St Ste 211
Kenosha, WI 53142-6810
Phone (262) 925-5020
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1222 | WI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital of Wisconsin, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Milwaukee, WI
- NPI 1952408353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579910400000",
"number": "1255729901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3365 S 103RD ST STE 150",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532274161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3365 S 103RD ST STE 150",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532274161",
"telephone_number": "414-607-5280"
}
],
"practiceLocations": [
{
"address_1": "7137 236th Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "WI",
"postal_code": "531688975",
"country_code": "US",
"telephone_number": "262-925-5060",
"fax_number": "262-925-5061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10222 74th St Ste 211",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531426810",
"country_code": "US",
"telephone_number": "262-925-5020",
"fax_number": "262-925-5021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HONG",
"first_name": "KAITLIN",
"credential": "DPT, ATC/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2020-01-25",
"certification_date": "2020-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "WI",
"license": "11877",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1222",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11877",
"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 Jan 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.