Active NPI
Wisconsin Athletic Club, LLC
- Physical Therapist
- Milwaukee, WI
National Provider Identifier
1609756204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WISCONSIN ATHLETIC CLUB, LLC
- Practice address
- 411 E Wisconsin Ave FL 6
Milwaukee, WI 53202-4461 - Phone
- (414) 212-2000
- NPI assigned
- Sep 4, 2025
- Organization subpart
- Yes
- Parent organization
- WISCONSIN ATHLETIC CLUB, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Lee Kieser
- Title
- Physical Therapist
- Phone
- (414) 212-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
411 E Wisconsin Ave FL 6
Milwaukee, WI 53202-4461
Mailing address
411 E Wisconsin Ave FL 6
Milwaukee, WI 53202-4461
National Provider Directory
National Provider Directory- Tax ID family
- Wisconsin Athletic Club LLC
- Part of
- Wisconsin Athletic Club LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Recovery Care Clinic/Center
- Menomonee Falls, WI
- NPI 1043107428
-
- Health Maintenance Organization
- Glendale, WI
- NPI 1356260129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756944000000",
"number": "1609756204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 E WISCONSIN AVE FL 6",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E WISCONSIN AVE FL 6",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024461",
"telephone_number": "414-212-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISCONSIN ATHLETIC CLUB, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WISCONSIN ATHLETIC CLUB, LLC",
"enumeration_date": "2025-09-04",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A",
"authorized_official_last_name": "KIESER",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "414-212-2000"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
- Layla Michelle Wirtz, LCSW
- Wis. Lutheran Child & Family Services
- Wisbio Solutions LLC
- Wisc Residential Services Corp
- Wisconsin Anesthesia Professionals LLC
- Wisconsin Avenue Medical Clinic,S.C.
- Wisconsin Bariatrics, SC
- Wisconsin Cardiovascular Group
- Wisconsin Center for Orthopedics and Wellness SC
- Wisconsin Community Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.