Active NPI
Molly Jeanne Raab
- Physical Therapy Assistant
- Milwaukee, WI
National Provider Identifier
1386937597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1644-19
- Practice address
- 5700 W Layton Ave
Milwaukee, WI 53220-4016 - Phone
- (414) 281-7220
- NPI assigned
- May 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 1644-19 | WI | Primary |
Addresses
Primary practice location
5700 W Layton Ave
Milwaukee, WI 53220-4016
Mailing address
N5596 County Road B
Deerbrook, WI 54424-9310
Phone (906) 281-5019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1644-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1386937597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N5596 COUNTY ROAD B",
"city": "DEERBROOK",
"state": "WI",
"postal_code": "544249310",
"telephone_number": "906-281-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 W LAYTON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532204016",
"telephone_number": "414-281-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAAB",
"first_name": "MOLLY",
"middle_name": "JEANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-20",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "1644-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.