Active NPI
Christen Joanne Thieman, PT, DPT, OCS
- Physical Therapist
- Brookfield, WI
National Provider Identifier
1275908287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1133624
- Practice address
- 120 Bishops Way Ste 154
Brookfield, WI 53005-6249 - Phone
- (414) 702-2780
- NPI assigned
- Dec 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1133624 | WI | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 1133624 | WI |
Addresses
Primary practice location
120 Bishops Way Ste 154
Brookfield, WI 53005-6249
Mailing address
120 Bishops Way Ste 154
Brookfield, WI 53005-6249
Phone (414) 702-2780
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 |
|---|---|---|---|
| 1133624 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711238400000",
"number": "1275908287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BISHOPS WAY STE 154",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530056249",
"telephone_number": "414-702-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BISHOPS WAY STE 154",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530056249",
"telephone_number": "414-702-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEMAN",
"first_name": "CHRISTEN",
"middle_name": "JOANNE",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2024-03-24",
"certification_date": "2024-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1133624",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "1133624",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.