Active NPI
Timothy Lee Ulrich, P.T.
- Physical Therapist
- Racine, WI
National Provider Identifier
1437232733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5733-024
- Practice address
- 5401 Douglas Ave
Racine, WI 53402-2034 - Phone
- (262) 681-8829
- NPI assigned
- Oct 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5733-024 | WI | Primary |
| Physical Therapist | 225100000X | IL |
Addresses
Primary practice location
5401 Douglas Ave
Racine, WI 53402-2034
Mailing address
2470 Catherine Dr
Racine, WI 53402-1604
Phone (262) 939-4120
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.015367 | IL | MD | Physical Therapist |
| 5733-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caledonia Physical Therapy, S.C. | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Racine, WI
- NPI 1427103738
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437232733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 CATHERINE DR",
"city": "RACINE",
"state": "WI",
"postal_code": "534021604",
"telephone_number": "262-939-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 DOUGLAS AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534022034",
"telephone_number": "262-681-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "TIMOTHY",
"middle_name": "LEE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5733-024",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.