Active NPI
Sandra Christie Moloney, P.T.
- Physical Therapist
- Brookfield, WI
National Provider Identifier
1356692537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9657-24
- Practice address
- 600 N Barker Rd
Brookfield, WI 53045-5919 - Phone
- (262) 432-3027
- Fax
- (262) 797-0730
- NPI assigned
- Sep 27, 2012
- 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 Therapist | 225100000X | 9657-24 | WI | Primary |
Addresses
Primary practice location
600 N Barker Rd
Brookfield, WI 53045-5919
Mailing address
13825 W Burleigh Rd
Brookfield, WI 53005-3058
Phone (262) 754-3450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19265 W Capitol Dr
Suite L01
Brookfield, WI 53045-2740
Phone (262) 790-5775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9657-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Wisconsin Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| LHCG Xlvii, LLC | Past | Accepting new patients |
Locations
19265 W Capitol Dr
Ste L01
Brookfield, WI 53045
Phone (262) 641-0459
525 Junction Rd
Ste 6500
Madison, WI 53717
Phone (608) 295-0109
Organizations & group practices 3
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.
-
- Physical Therapist
- Brookfield, WI
- NPI 1427196765
-
- Physical Therapist
- Madison, WI
- NPI 1518576164
-
- Home Health Agency
- Brookfield, WI
- NPI 1336584275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1356692537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13825 W BURLEIGH RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530053058",
"telephone_number": "262-754-3450",
"fax_number": "262-754-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N BARKER RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530455919",
"telephone_number": "262-432-3027",
"fax_number": "262-797-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLONEY",
"first_name": "SANDRA",
"middle_name": "CHRISTIE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9657-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 27, 2012; 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.