Active NPI
Carol Kaspar, PT
- Physical Therapist
- South Milwaukee, WI
National Provider Identifier
1407078421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1365 024
- Practice address
- 3821 S Chicago Ave
South Milwaukee, WI 53172-3712 - Phone
- (414) 762-7336
- NPI assigned
- May 2, 2007
- 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 | 1365 024 | WI | Primary |
Addresses
Primary practice location
3821 S Chicago Ave
South Milwaukee, WI 53172-3712
Mailing address
3015 E Emily Ave
Oak Creek, WI 53154-3465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40127000 | Medicaid | WI |
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 |
|---|---|---|---|
| 1365 024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407078421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 E EMILY AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531543465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3821 S CHICAGO AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531723712",
"telephone_number": "414-762-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPAR",
"first_name": "CAROL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1365 024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40127000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.