Individual provider Active NPI

Rachel Dombrowski, DPT

  • Physical Therapist
  • Wauwatosa, WI
National Provider Identifier
1508464165
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15188-24 Issued in WI
Practice address
2626 N 76TH St Ste 105
Wauwatosa, WI 53213-1137
Phone
(414) 774-7794
Fax
(414) 607-3971
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15188-24 WI Primary

Addresses

Primary practice location

2626 N 76TH St Ste 105
Wauwatosa, WI 53213-1137

Mailing address

2626 N 76TH St Ste 105
Wauwatosa, WI 53213-1137
Phone (414) 774-7794

Other practice location 1

7001 S Howell Ave Ste 800
Oak Creek, WI 53154-1408
Phone (414) 856-0303

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
15188-24WIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1508464165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N 76TH ST STE 105",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131137",
            "telephone_number": "414-774-7794",
            "fax_number": "414-607-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N 76TH ST STE 105",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131137",
            "telephone_number": "414-774-7794",
            "fax_number": "414-607-3971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 S Howell Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541408",
            "country_code": "US",
            "telephone_number": "414-856-0303",
            "fax_number": "414-856-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMBROWSKI",
        "first_name": "RACHEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15188-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.