Individual provider Active NPI

Pamela K Lofgren, PT

  • Physical Therapist
  • Brookfield, WI
National Provider Identifier
1356524946
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6382 Issued in WI
Practice address
17500 W Bluemound Rd
Suite B
Brookfield, WI 53045-2909
Phone
(262) 901-2800
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates of Wisconsin SC 106 clinicians

Practice addresses (Care Compare)

N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone (262) 303-5055

Merit-based Incentive Payment System (MIPS)

Final score
83.05 of 100Reported as group
Quality
88.38
Improvement activities
40
Cost
64.82

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121018000739 WI Practitioner - Physical Therapist in Private Practice 0244480796 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Oct 9, 2017 Accepting new patients
Orthopaedic Associates of Wisconsin, SC CurrentSince Mar 1, 2025 Accepting new patients
Orthopaedic Associates of Wisconsin SC CurrentSince Mar 1, 2025 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Oct 9, 2017 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Current Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

285 S Moorland Rd
Brookfield, WI 53005
Phone (810) 331-0939

17500 W Bluemound Rd
Ste B
Brookfield, WI 53045
Phone (262) 901-2800

3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727

7224 118th Ave
Ste E
Kenosha, WI 53142
Phone (262) 857-4400

4861 S 27th St
Milwaukee, WI 53221
Phone (414) 325-3325

5502 Washington Ave
Ste 500
Mount Pleasant, WI 53406
Phone (262) 637-2470

S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200

15312 W Beloit Rd
New Berlin, WI 53151
Phone (262) 641-5771

600 W Drexel Ave
#150
Oak Creek, WI 53154
Phone (414) 563-1045

N15W28300 Golf Rd
Pewaukee, WI 53072

6810 W State St
Wauwatosa, WI 53213
Phone (414) 259-0623

11450 W Burleigh St
Ste 120
Wauwatosa, WI 53222
Phone (414) 443-9862

10724 W Oklahoma Ave
West Allis, WI 53227
Phone (414) 545-0206

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6382 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

17500 W Bluemound Rd
Suite B
Brookfield, WI 53045-2909

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone (262) 303-5055

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
40339400MedicaidWI
100309682MedicaidWI

Other names 1

NPPES NPI Registry
  • Pamela K Larson Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2025.

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1356524946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 W BLUEMOUND RD",
            "address_2": "SUITE B",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452909",
            "telephone_number": "262-901-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N15W28300 Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Pewaukee",
            "state": "WI",
            "postal_code": "530724800",
            "country_code": "US",
            "telephone_number": "262-303-5055",
            "fax_number": "262-303-5057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFGREN",
        "first_name": "PAMELA",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40339400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100309682",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "LARSON",
            "middle_name": "K",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.