Individual provider Active NPI

Malinda May Keinert, DPT

  • Physical Therapist
  • Waukesha, WI
National Provider Identifier
1275813461
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12149-24 Issued in WI
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

Updated by the provider on Nov 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220210001621 WI Practitioner - Physical Therapist in Private Practice 6507038072 Reassigns benefits to 3 organizations

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
Fox Rehabilitation Services Wi LLCGroup PAC ID 1658647581, 144 clinicians

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

LicenseStateTypeSpecialty
12149-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Therapy Services LLC Physical Therapist CurrentSince Nov 17, 2023 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients
Fox Rehabilitation Services Wi LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients
Regional Rehab Associates PA PastSince Jul 1, 2005 Accepting new patients
Pelican Sports and Rehabilitation, Inc Physical Therapist Past Accepting new patients
Pelican Sports & Rehabilitation of Naples Physical Therapist PastSince Jun 24, 2015 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.

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.

Verify at the official NPI Registry.