Active NPI
Lindsey Ketelhut, PT, DPT
- Physical Therapist
- Waukesha, WI
National Provider Identifier
1568153047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16358-24
- Practice address
- S11W29667 Summit Ave
Waukesha, WI 53188-9476 - Phone
- (262) 305-1624
- NPI assigned
- May 16, 2023
- 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 | 16358-24 | WI | Primary |
Addresses
Primary practice location
S11W29667 Summit Ave
Waukesha, WI 53188-9476
Mailing address
1711 Easy St
Waukesha, WI 53188-2201
Other practice location 1
1711 Easy St
Waukesha, WI 53188-2201
Phone (262) 305-1624
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 |
|---|---|---|---|
| 16358-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731110400000",
"number": "1568153047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 EASY ST",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531882201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S11W29667 SUMMIT AVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531889476",
"telephone_number": "262-305-1624"
}
],
"practiceLocations": [
{
"address_1": "1711 Easy St",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531882201",
"country_code": "US",
"telephone_number": "262-305-1624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KETELHUT",
"first_name": "LINDSEY",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2024-11-09",
"certification_date": "2024-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "16358-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
- Catherine Josephine Kent, PHYSICIAN ASSISTANT
- Kathryn Anne Kern, PHD, ACSM-CEP
- Martin William Kern, MD
- Emily M Kerr
- Madeline Kessler, PA-C
- Debra L Ketterhagen, APNP
- Kettle Moraine Ambulance, LLC
- Kettle Moraine Emergency Medical Services Inc (Kettle Moraine Ambulance)
- John Thomas Kettler, CSAC, LPC-IT
- Diane Keyes, APNP, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.