Individual provider Active NPI

Michael Houte, LAT, CSCS, PES, CES

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Milwaukee, WI
National Provider Identifier
1477021640
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
1462-39 Issued in WI
Practice address
1245 N Broadway
Milwaukee, WI 53202-2507
Phone
(262) 237-4269
NPI assigned
Nov 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 1462-39 WI Primary

Addresses

Primary practice location

1245 N Broadway
Milwaukee, WI 53202-2507

Mailing address

1245 N Broadway
Milwaukee, WI 53202-2507
Phone (262) 237-4269

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

LicenseStateTypeSpecialty
1462-39WIMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1477021640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 N BROADWAY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022507",
            "telephone_number": "262-237-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N BROADWAY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022507",
            "telephone_number": "262-237-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUTE",
        "first_name": "MICHAEL",
        "credential": "LAT, CSCS, PES, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "WI",
            "license": "1462-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.