NPIMap

Organization Active NPI

Midwest Orthopedic Specialty Hospital, LLC

  • Rehabilitation Clinic/Center
  • Greenfield, WI
National Provider Identifier
1407508567
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC
Practice address
4861 S 27TH St
Greenfield, WI 53221-2603
Phone
(414) 567-3022
Fax
(414) 567-2684
NPI assigned
Jan 20, 2022
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheila Gansemer
Title
Ceo
Phone
(414) 325-4589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

4861 S 27TH St
Greenfield, WI 53221-2603

Mailing address

PO Box 1153
Bedford Park, IL 60499-1153
Phone (414) 567-3022

Other names 1

  • Midwest Orthopedic Specialty Hospital PT Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210317001381 WI Part B Supplier - Clinic/Group Practice 7113078833 Receives reassigned benefits from 101 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Franklin, WI; Wauwatosa, WI; Oak Creek, WI; Muskego, WI; Milwaukee, WI; Mequon, WI; Hales Corners, WI; Brookfield, WI

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Midwest Orthopedic Specialty Hospital LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1407508567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1153",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604991153",
            "telephone_number": "414-567-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 S 27TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212603",
            "telephone_number": "414-567-3022",
            "fax_number": "414-567-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "GANSEMER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-325-4589"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Orthopedic Specialty Hospital PT Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.