Individual provider Active NPI

Kimberly Joan Dechant, DPT

  • Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1295928232
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10852-24 Issued in WI
Practice address
604 N 16TH St
Cramer Hall 104
Milwaukee, WI 53233-2117
Phone
(414) 288-6754
Fax
(414) 288-6079
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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 10852 WI
Physical Therapist 225100000X 10852-24 WI Primary

Addresses

Primary practice location

604 N 16TH St
Cramer Hall 104
Milwaukee, WI 53233-2117

Mailing address

Marquette Physical Therapy Clinic
604 N 16TH St Cramer Hall 215
Milwaukee, WI 53233-2117
Phone (414) 292-5268

Other names 1

  • Kimberly Ring Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190201001735 WI Practitioner - Physical Therapist in Private Practice 5092052894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marquette UniversityGroup PAC ID 0648221028, 15 clinicians

Practice addresses (Care Compare)

604 N 16TH St
Milwaukee, WI 53233-2117
Phone (414) 288-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10852WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marquette University Physical Therapist CurrentSince Jan 2, 2019 Accepting new patients
Marquette University CurrentSince Jan 2, 2019 Accepting new patients

Locations

604 N 16th St
#215
Milwaukee, WI 53233
Phone (414) 288-1400

604 N 16th St
#104
Milwaukee, WI 53233
Phone (414) 288-6754

604 N 16th St
Rm 215
Milwaukee, WI 53233
Phone (414) 288-1400

Organizations & group practices 2

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1295928232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARQUETTE PHYSICAL THERAPY CLINIC",
            "address_2": "604 N 16TH ST CRAMER HALL 215",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332117",
            "telephone_number": "414-292-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N 16TH ST",
            "address_2": "CRAMER HALL 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332117",
            "telephone_number": "414-288-6754",
            "fax_number": "414-288-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHANT",
        "first_name": "KIMBERLY",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10852",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10852-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RING",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 11, 2018; 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.