Active NPI
Steven Thomas Paul, DPT, ATC
- Physical Therapist
- Kenosha, WI
National Provider Identifier
1437668134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16048-24
- Practice address
- 7610 Pershing Blvd
Kenosha, WI 53142-4318 - Phone
- (262) 948-3600
- NPI assigned
- Sep 25, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16048-24 | WI | Primary |
Addresses
Primary practice location
7610 Pershing Blvd
Kenosha, WI 53142-4318
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
1265 Lombardi Ave
Green Bay, WI 54304-3927
Phone (708) 829-3415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100245585 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231012002292 | WI | Practitioner - Physical Therapist in Private Practice | 5991150880 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
24014 W Renwick Rd
Unit 206
Plainfield, IL 60544-8711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16048-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Health Care Southern Lakes, Inc. | 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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1437668134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 PERSHING BLVD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531424318",
"telephone_number": "262-948-3600"
}
],
"practiceLocations": [
{
"address_1": "1265 Lombardi Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543043927",
"country_code": "US",
"telephone_number": "708-829-3415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAUL",
"first_name": "STEVEN",
"middle_name": "THOMAS",
"credential": "DPT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-25",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "16048-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100245585",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7610 Pershing Blvd",
"city": "Kenosha",
"state": "WI",
"country_code": "US",
"postal_code": "531424318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.