Individual provider Active NPI

Pamela Saxon, PT

  • Physical Therapist
  • Racine, WI
National Provider Identifier
1316490782
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2522 Issued in WI
Practice address
1600 Ohio St
Racine, WI 53405-3157
Phone
(262) 995-7291
Fax
(262) 995-7292
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2522 WI Primary

Addresses

Primary practice location

1600 Ohio St
Racine, WI 53405-3157

Mailing address

815 Blaine Ave
Racine, WI 53405-2407
Phone (262) 632-3035

Other names 1

  • Pamela Kreuthmeier Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914000168 WI Practitioner - Physical Therapist in Private Practice 1355637570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motion Physical Therapy LLCGroup PAC ID 7214034321, 3 clinicians

Practice addresses (Care Compare)

1600 Ohio St
Racine, WI 53405-3157
Phone (262) 995-7291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2522WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2016 Accepting new patients

Organizations & group practices 1

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1316490782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BLAINE AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052407",
            "telephone_number": "262-632-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 OHIO ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534053157",
            "telephone_number": "262-995-7291",
            "fax_number": "262-995-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXON",
        "first_name": "PAMELA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "KREUTHMEIER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.