Individual provider Active NPI

Frank Rewolinski, DPT

  • Physical Therapist
  • West Allis, WI
National Provider Identifier
1336496215
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12040-24 Issued in WI
Practice address
8800 W Lincoln Ave
West Allis, WI 53227-2400
Phone
(414) 541-1118
Fax
(414) 541-3066
NPI assigned
Aug 9, 2012
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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 12040-24 WI Primary

Addresses

Primary practice location

8800 W Lincoln Ave
West Allis, WI 53227-2400

Mailing address

1155 N Mayfair Rd
Suite 200
Milwaukee, WI 53226-3462
Phone (414) 955-7199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130121000180 WI Practitioner - Physical Therapist in Private Practice 8729231972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thera-Dynamics SCGroup PAC ID 8820010317, 11 clinicians

Practice addresses (Care Compare)

8800 W Lincoln Ave
West Allis, WI 53227-2400
Phone (414) 541-1118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thera-Dynamics, S.C. Physical Therapist CurrentSince Nov 20, 2018 Accepting new patients
Physical Therapy and Rehab Specialists Physical Therapist PastSince Oct 31, 2012 Accepting new patients

Locations

7708 W Good Hope Rd
Milwaukee, WI 53223
Phone (414) 541-1118

613 N 36th St
Unit 300
Milwaukee, WI 53208
Phone (414) 344-4100

2121 S Kinnickinnic Ave
Ste 3
Milwaukee, WI 53207
Phone (414) 744-0707

8802 W Becher St
West Allis, WI 53227
Phone (414) 541-1118

8800 W Lincoln Ave
West Allis, WI 53227
Phone (414) 541-1118

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1336496215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N MAYFAIR RD",
            "address_2": "SUITE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263462",
            "telephone_number": "414-955-7199",
            "fax_number": "414-955-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272400",
            "telephone_number": "414-541-1118",
            "fax_number": "414-541-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REWOLINSKI",
        "first_name": "FRANK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12040-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.