Kent Carlson, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10398-024 Issued in WI

Practice address

2835 N Grandview Blvd
Suite 100
Pewaukee, WI 53072-5546

Phone

(262) 574-5185

Fax

(262) 574-5193

NPI assigned

Aug 1, 2008

Last updated

May 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keystone Physical Therapy LLCGroup PAC ID 6103236187, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keystone Physical Therapy LLC

  • Physical Therapist
  • Brookfield, WI
  • NPI 1427196765
  Medicare reassignment Care Compare group
• Athletic & Therapeutic Institute of Milwaukee LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Wauwatosa, WI
  • NPI 1104138486
  NPD (past)
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
  • NPI 1558956722

  Physical Therapist

  NPD (past)
• LHCG Xlvii, LLC

  dba Wisconsin Home Health

  • Home Health Agency
  • Brookfield, WI
  • NPI 1336584275
  NPD (past)

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1477719151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 S COVENTRY RD",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531516145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N GRANDVIEW BLVD",
            "address_2": "SUITE 100",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725546",
            "telephone_number": "262-574-5185",
            "fax_number": "262-574-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KENT",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10398-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477719151",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia A. Burke, APNP
• Nicole D Butero, MS-CCC-SLP
• Jill T Butterfield, M.S. ATRL-BC
• Caputo Dental Wi SC (Windsor Park Dental)
• Natalie Marie Carleton
• Morgan Ashley Carter-Engstrand, PSYD
• Angela Castillo
• Bartlomiej Celer, OD
• Philip Chard, MS, LCSW
• Mary Beth Checkai, APNP

• Physical Therapist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.

Verify at the official NPI Registry.