Active NPI
Krizia Mondejar, PT
- Physical Therapist
- Milwaukee, WI
National Provider Identifier
1497261705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13760-24
- Practice address
- 7500 W Dean Rd
Milwaukee, WI 53223-2638 - Phone
- (414) 371-7394
- NPI assigned
- Dec 21, 2017
- Sex
- Female
- 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 | 13760-24 | WI | Primary |
Addresses
Primary practice location
7500 W Dean Rd
Milwaukee, WI 53223-2638
Mailing address
6524 N Sidney PL Apt 205
Glendale, WI 53209-3223
Phone (347) 301-4707
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13760-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513814400000",
"number": "1497261705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6524 N SIDNEY PL APT 205",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532093223",
"telephone_number": "347-301-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 W DEAN RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532232638",
"telephone_number": "414-371-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDEJAR",
"first_name": "KRIZIA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-21",
"last_updated": "2017-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13760-24",
"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 Dec 21, 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.