Individual provider Active NPI

Hanna Monica Womack, LICENSED PHYSICAL TH

  • Physical Therapy Assistant
  • Milwaukee, WI
National Provider Identifier
1588847263
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
860019 Issued in WI
Practice address
316 North Milwaukee Street
Suite 208 Heritage Staffing Consulting
Milwaukee, WI 53202-5803
Phone
(414) 615-0665
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 860019 WI Primary

Addresses

Primary practice location

316 North Milwaukee Street
Suite 208 Heritage Staffing Consulting
Milwaukee, WI 53202-5803

Mailing address

316 North Milwaukee Street
Suite 208 Heritage Staffing Consulting
Milwaukee, WI 53202-5803
Phone (414) 615-0665

Other names 1

  • Hanna Monica Ronkiewicz Former name

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

LicenseStateTypeSpecialty
860019WIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1588847263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 NORTH MILWAUKEE STREET",
            "address_2": "SUITE 208 HERITAGE STAFFING CONSULTING",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025803",
            "telephone_number": "414-615-0665",
            "fax_number": "414-615-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NORTH MILWAUKEE STREET",
            "address_2": "SUITE 208 HERITAGE STAFFING CONSULTING",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025803",
            "telephone_number": "414-615-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "HANNA",
        "middle_name": "MONICA",
        "credential": "LICENSED PHYSICAL TH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "860019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNA",
            "last_name": "RONKIEWICZ",
            "middle_name": "MONICA",
            "credential": "LICENSED PHYSICAL TH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.