Susan Joan Mabrey

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

453-019 Issued in WI

Practice address

14555 W National Ave Ste 195
New Berlin, WI 53151-4484

Phone

(262) 827-2929

Fax

(262) 827-2924

NPI assigned

Sep 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aurora Health Care Metro, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1861447179
  NPD (past)

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1467970541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 W NATIONAL AVE STE 195",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514484",
            "telephone_number": "262-827-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 W NATIONAL AVE STE 195",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514484",
            "telephone_number": "262-827-2929",
            "fax_number": "262-827-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABREY",
        "first_name": "SUSAN",
        "middle_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "453-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristine C Luebstorf, PT
• Rebecca Lukomski, MA, LPC
• Luxottica of America Inc.
• Enrique W Luy, MD
• Megan Lynch, MD
• Robert A Mackowski, RPH
• Elisabeth T Madagame, MD
• Jennifer Lynn Magestro, PT
• Rachel Mahoney, LCSW
• Ana Majchrzak

• Physical Therapy Assistant in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.