Individual provider Active NPI

Amy E Renken, PHYSICAL THERAPIST

  • Physical Therapist
  • Franklin, WI
National Provider Identifier
1336178029
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10605-024 Issued in WI
Practice address
7253 S 76TH St
Franklin, WI 53132-9041
Phone
(414) 425-9700
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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 10605-024 WI Primary

Addresses

Primary practice location

7253 S 76TH St
Franklin, WI 53132-9041

Mailing address

7253 S 76TH St
Franklin, WI 53132-9041
Phone (414) 425-9700

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherWISOCIAL SECURITY NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060419000048 WI Practitioner - Physical Therapist in Private Practice 5799794707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Franklin Rehabilitation LLCGroup PAC ID 3173426343, 5 clinicians
Cole Rehab Enterprises LLCGroup PAC ID 7517371313, 2 clinicians

Practice addresses (Care Compare)

7253 S 76TH St
Franklin, WI 53132-9041
Phone (414) 425-9700

8800 S 102ND St
Franklin, WI 53132-7712
Phone (414) 235-3660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10605-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Rehab Enterprises LLC Physical Therapist CurrentSince Apr 17, 2023 Accepting new patients
Franklin Rehabilitation LLC Physical Therapist CurrentSince Feb 27, 2006 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

8800 S 102nd St
Franklin, WI 53132
Phone (414) 235-3660

7253 S 76th St
Franklin, WI 53132
Phone (414) 425-9700

5708 75th St
#B
Kenosha, WI 53142
Phone (262) 697-9135

2615 N Downer Ave
Milwaukee, WI 53211
Phone (414) 962-4400

315 N Milwaukee St
Waterford, WI 53185
Phone (262) 514-2700

Interoperability endpoints

  • Direct secure messaging: amy.renken.p7@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1336178029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7253 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329041",
            "telephone_number": "414-425-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7253 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329041",
            "telephone_number": "414-425-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENKEN",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10605-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.