Active NPI
Kelly A. Hensler, DPT,OCS,CSCS
- Physical Therapist
- Burlington, WI
National Provider Identifier
1508052937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6167024
- Practice address
- 204 S Pine St
Burlington, WI 53105-1914 - Phone
- (262) 767-9579
- Fax
- (262) 767-9610
- NPI assigned
- Sep 19, 2007
- 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 Therapist | 225100000X | 6167024 | WI | Primary |
Addresses
Primary practice location
204 S Pine St
Burlington, WI 53105-1914
Mailing address
204 S Pine St
Burlington, WI 53105-1914
Phone (262) 767-9579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071010000070 | WI | Practitioner - Physical Therapist in Private Practice | 4688760416 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6167024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Physical Therapy & Sports Rehab, LLC | Current | Accepting new patients | |
| Advantage Physical Therapy & Sports Rehab, LLC | Current | Accepting new patients | |
| Advantage Physical Therapy & Sports Rehab, LLC | Current | Accepting new patients | |
| Advantage Physical Therapy & Sports Rehab, LLC | Past | Accepting new patients |
Locations
204 S Pine St
Burlington, WI 53105
Phone (262) 767-9579
600 52nd St
Ste 240
Kenosha, WI 53140
Phone (262) 656-0006
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Burlington, WI
- NPI 1881773463
WI
-
- Rehabilitation Clinic/Center
- Kenosha, WI
- NPI 1366013278
-
- Rehabilitation Clinic/Center
- Hayward, WI
- NPI 1902556012
-
- Rehabilitation Clinic/Center
- Salem, WI
- NPI 1104497023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1508052937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 S PINE ST",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051914",
"telephone_number": "262-767-9579",
"fax_number": "262-767-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S PINE ST",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051914",
"telephone_number": "262-767-9579",
"fax_number": "262-767-9610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSLER",
"first_name": "KELLY",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "DPT,OCS,CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "6167024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.