Individual provider Active NPI

Ben Schaefer, DPT

  • Physical Therapist
  • Mukwonago, WI
National Provider Identifier
1366267361
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16981-24 Issued in WI
Practice address
111 Atkinson St Ste 2
Mukwonago, WI 53149-1439
Phone
(262) 363-3268
NPI assigned
Nov 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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 16981-24 WI Primary

Addresses

Primary practice location

111 Atkinson St Ste 2
Mukwonago, WI 53149-1439

Mailing address

111 Atkinson St Ste 2
Mukwonago, WI 53149-1439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250204001191 WI Practitioner - Physical Therapist in Private Practice 5890225049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Physical Therapy Services SCGroup PAC ID 8224938113, 29 clinicians

Practice addresses (Care Compare)

111 Atkinson St
Suite 2
Mukwonago, WI 53149-1439
Phone (262) 363-3268

6908 N Santa Monica Blvd
Fox Point, WI 53217-3942
Phone (414) 352-2082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16981-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy Services SC Physical Therapist CurrentSince Nov 29, 2024 Accepting new patients

Locations

1235 Dakota Dr
Ste L
Grafton, WI 53024
Phone (262) 376-2085

6908 N Santa Monica Blvd
Milwaukee, WI 53217
Phone (414) 352-2082

111 Atkinson St
Ste 2
Mukwonago, WI 53149
Phone (262) 363-3268

Organizations & group practices 1

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": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1366267361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ATKINSON ST STE 2",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ATKINSON ST STE 2",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491439",
            "telephone_number": "262-363-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "BEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16981-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukwonago, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.