Individual provider Active NPI

Calvin Peter Deutsch, DPT

  • Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1396896544
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10106024 Issued in WI
Practice address
731 N Jackson St Ste 800
Milwaukee, WI 53202-4612
Phone
(414) 224-8219
NPI assigned
Jan 15, 2007
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 10106024 WI Primary

Addresses

Primary practice location

731 N Jackson St Ste 800
Milwaukee, WI 53202-4612

Mailing address

1177 Quail CT Ste 200
Pewaukee, WI 53072-3768
Phone (262) 695-3057

Other practice location 1

9205 W Center St
Suite 213
Milwaukee, WI 53222-4548
Phone (414) 395-1079

Other practice location 2

1177 Quail Ct Ste 200
Pewaukee, WI 53072-3768
Phone (262) 695-3057

Other identifiers 1

IdentifierTypeStateIssuer
859400065OtherWIMEDICARE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10106024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kerk Physical Therapy Specialists SC Physical Therapist CurrentSince Apr 13, 2025 Accepting new patients
Kerk Physical Therapy Specialists SC Physical Therapist PastSince Apr 13, 2025 Accepting new patients
Sports Physical Therapy & Rehab Specialists, S.C. Physical Therapist Past Accepting new patients
Instep Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

731 N Jackson St
Ste 800
Milwaukee, WI 53202
Phone (414) 224-8219

1177 Quail Ct
Ste 200
Pewaukee, WI 53072
Phone (262) 695-3057

Organizations & group practices 4

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1396896544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 QUAIL CT STE 200",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723768",
            "telephone_number": "262-695-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N JACKSON ST STE 800",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024612",
            "telephone_number": "414-224-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9205 W Center St",
            "address_2": "Suite 213",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532224548",
            "country_code": "US",
            "telephone_number": "414-395-1079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1177 Quail Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pewaukee",
            "state": "WI",
            "postal_code": "530723768",
            "country_code": "US",
            "telephone_number": "262-695-3057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "CALVIN",
        "middle_name": "PETER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10106024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "859400065",
            "state": "WI"
        }
    ],
    "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 Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.