Colleen Ann Yaggie, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3216 Issued in WI

Practice address

N112W15415 Mequon Rd
Germantown, WI 53022-3410

Phone

(262) 257-4730

Fax

(262) 257-4737

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Healthcare SC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1154371847
  NPD (past)
• Aurora Advanced Healthcare, Inc.

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1265629133
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1295762730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N112W15415 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223410",
            "telephone_number": "262-257-4730",
            "fax_number": "262-257-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N112W15415 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223410",
            "telephone_number": "262-257-4730",
            "fax_number": "262-257-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGGIE",
        "first_name": "COLLEEN",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40398600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wisconsin Lutheran CHLD and Family Services
• Rebecca Joan Wittemann
• Grace Caroline Worzalla, M.D.
• Annie Wu, LMT
• Gregory Wunrow
• Yentz Family Chiropractic LLC
• Karl Yentz, D.C.
• Chad Zambon, DDS
• Brian M Zamzow
• Richard Ziller, MOTR/L

• Physical Therapist in Germantown, WI
• Providers in Germantown, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.