Active NPI
Sherley Maclean
- Physical Therapy Assistant
- Milwaukee, WI
National Provider Identifier
1326295486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 454-019
- Practice address
- 1414 N 53Rd St
Apt. 2
Milwaukee, WI 53208-2228 - Phone
- (414) 475-7440
- NPI assigned
- Aug 20, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 454-019 | WI | Primary |
Addresses
Primary practice location
1414 N 53Rd St
Apt. 2
Milwaukee, WI 53208-2228
Mailing address
1414 N 53Rd St
Apt. 2
Milwaukee, WI 53208-2228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100018572 | Medicaid | WI |
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 |
|---|---|---|---|
| 454-019 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1326295486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 N 53RD ST",
"address_2": "APT. 2",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532082228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 N 53RD ST",
"address_2": "APT. 2",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532082228",
"telephone_number": "414-475-7440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEAN",
"first_name": "SHERLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "454-019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100018572",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}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 Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.