Active NPI
Malinda May Keinert, DPT
- Physical Therapist
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12149-24
- Practice address
- 3217 Fiddlers Creek Dr
Waukesha, WI 53188-3946 - Phone
- (262) 896-8888
- NPI assigned
- Aug 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 25846 | FL | |
| Physical Therapist | 225100000X | 12149-24 | WI | Primary |
Addresses
Primary practice location
3217 Fiddlers Creek Dr
Waukesha, WI 53188-3946
Mailing address
W240N2566 E Parkway Meadow Cir Unit 3
Pewaukee, WI 53072-5837
Phone (920) 207-3811
Other practice location 1
10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947
Phone (262) 612-2829
Other practice location 2
2725 S Moorland Rd Ste 301
New Berlin, WI 53151-3720
Phone (414) 329-2428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2130 Continental Dr
West Bend, WI 53095-7904
Phone (262) 338-0092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12149-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services Wi LLC | Physical Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Regional Rehab Associates PA | Past | Accepting new patients | |
| Pelican Sports and Rehabilitation, Inc | Physical Therapist | Past | Accepting new patients |
| Pelican Sports & Rehabilitation of Naples | Physical Therapist | Past | Accepting new patients |
Locations
8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442
1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207
3217 Fiddlers Creek Dr
Waukesha, WI 53188
Phone (262) 832-1020
Networks
- Freedom Health HMO Network
Organizations & group practices 7
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.
-
- Physical Therapist
- Milwaukee, WI
- NPI 1518483973
-
- Multi-Specialty Clinic/Center
- Oshkosh, WI
- NPI 1386381598
Physical Therapist
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1003174087
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
-
- Physical Therapist
- Naples, FL
- NPI 1558511725
-
- Physical Therapist
- Naples, FL
- NPI 1437173101
-
- Physical Medicine & Rehabilitation Physician
- Naples, FL
- NPI 1073714010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1275813461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W240N2566 E PARKWAY MEADOW CIR UNIT 3",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530725837",
"telephone_number": "920-207-3811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 FIDDLERS CREEK DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883946",
"telephone_number": "262-896-8888"
}
],
"practiceLocations": [
{
"address_1": "10330 Prairie Ridge Blvd",
"address_purpose": "LOCATION",
"city": "Pleasant Prairie",
"state": "WI",
"postal_code": "531581947",
"country_code": "US",
"telephone_number": "262-612-2829",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2725 S Moorland Rd Ste 301",
"address_purpose": "LOCATION",
"city": "New Berlin",
"state": "WI",
"postal_code": "531513720",
"country_code": "US",
"telephone_number": "414-329-2428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEINERT",
"first_name": "MALINDA",
"middle_name": "MAY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 25846",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12149-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.