Active NPI
Jennifer Lynn Piala, DPT
- Physical Therapist
- Milwaukee, WI
National Provider Identifier
1326296781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11682-024
- Practice address
- 2323 N Lake Dr
Milwaukee, WI 53211-4508 - Phone
- (847) 606-6617
- NPI assigned
- Aug 28, 2008
- Last updated
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 070.016512 | IL | |
| Physical Therapist | 225100000X | 11682-024 | WI | Primary |
Addresses
Primary practice location
2323 N Lake Dr
Milwaukee, WI 53211-4508
Mailing address
2839 N Weil St
Milwaukee, WI 53212-2647
Phone (847) 606-6617
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 |
|---|---|---|---|
| 070.016512 | IL | MD | Physical Therapist |
| 11682-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1326296781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2839 N WEIL ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122647",
"telephone_number": "847-606-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 N LAKE DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532114508",
"telephone_number": "847-606-6617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIALA",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.016512",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11682-024",
"primary": true
}
],
"identifiers": [],
"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 Oct 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.