Active NPI
Stephanie Carnes Elizer, PTA
- Physical Therapy Assistant
- Brown Deer, WI
National Provider Identifier
1497338818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4237-19
- Practice address
- 9252 N Green Bay Rd
Brown Deer, WI 53209-1104 - Phone
- (414) 527-7172
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 4237-19 | WI | Primary |
Addresses
Primary practice location
9252 N Green Bay Rd
Brown Deer, WI 53209-1104
Mailing address
118 W Bergen Dr
Fox Point, WI 53217-2305
Phone (865) 385-1092
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Epic | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 4237-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1497338818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 W BERGEN DR",
"city": "FOX POINT",
"state": "WI",
"postal_code": "532172305",
"telephone_number": "865-385-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9252 N GREEN BAY RD",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532091104",
"telephone_number": "414-527-7172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIZER",
"first_name": "STEPHANIE",
"middle_name": "CARNES",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "4237-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Epic",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9252 N Green Bay Rd",
"city": "Brown Deer",
"state": "WI",
"country_code": "US",
"postal_code": "532091104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brown Deer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.