Rodolfo Ariell Acosta, DPT
Individual provider Active NPI Physical Therapist · Milwaukee, WI
NPI 1497060495 · NPPES record last updated Aug 13, 2010
Key facts
- NPI
- 1497060495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11562-024 (WI)
- Practice address
- 3849 S. 68TH St.
Milwaukee, WI 53220-1830 - Phone
- (414) 248-4906
- NPI assigned
- Aug 13, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11562-024 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11562-024 | WI | Yes |
Addresses
Primary practice location
3849 S. 68TH St.
Milwaukee, WI 53220-1830
Mailing address
3849 S 68TH St
Milwaukee, WI 53220-1830
Phone (414) 248-4906
Other providers in Milwaukee, WI
- Achievement Associates Group Inc
- Shereia Acoff
- Carolina Acosta
- Eva Acosta
- Pedro J Acosta
- Act Dental LLC
- Action Transport Service
- Active Home Care, LLC
- Active Sales & Services Medical Equipment Center
- Actra Rehabilitation Associates Inc
All providers in Milwaukee, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.