Active NPI
Lynette Anne Gerke, PT
- Physical Therapist
- Hales Corners, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3590024
- Practice address
- 5584 S 115TH St
Hales Corners, WI 53130-1812 - Phone
- (414) 469-8728
- NPI assigned
- Feb 9, 2006
- Last updated
- Sep 11, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3590-24 | WI | |
| Physical Therapist | 225100000X | 3590024 | WI | Primary |
Addresses
Primary practice location
5584 S 115TH St
Hales Corners, WI 53130-1812
Mailing address
5584 S 115TH St
Hales Corners, WI 53130-1812
Phone (414) 469-8728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5700 S 108TH St
Hales Corners, WI 53130-1911
Phone (414) 567-3022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3590-24 | WI | MD | Physical Therapist |
| 3590024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Orthopedic Specialty Hospital, LLC | Current | Accepting new patients | |
| Midwest Orthopedic Specialty Hospital, LLC | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Midwest Orthopedic Specialty Hospital, LLC | Current | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620
5700 S 108th St
Hales Corners, WI 53130
Phone (414) 239-9448
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Franklin, WI
- NPI 1275127375
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Physical Therapy Clinic/Center
- Hales Corners, WI
- NPI 1912676065
-
- Rehabilitation Clinic/Center
- Hales Corners, WI
- NPI 1316699473
-
- Durable Medical Equipment & Medical Supplies
- Muskego, WI
- NPI 1962238113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631318400000",
"number": "1578536769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5584 S 115TH ST",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301812",
"telephone_number": "414-469-8728",
"fax_number": "262-780-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5584 S 115TH ST",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301812",
"telephone_number": "414-469-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERKE",
"first_name": "LYNETTE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2021-09-11",
"certification_date": "2021-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3590-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3590024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hales Corners, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.