Active NPI
John A. Levene, DPT
- Physical Therapist
- Pewaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2720-024
- Practice address
- 2835 N Grandview Blvd Ste 100
Pewaukee, WI 53072-5546 - Phone
- (262) 574-1100
- Fax
- (262) 574-5193
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 2720-024 | WI | Primary |
Addresses
Primary practice location
2835 N Grandview Blvd Ste 100
Pewaukee, WI 53072-5546
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
2455 N 124th St
Brookfield, WI 53005-4630
Phone (615) 778-4066
Other practice location 2
N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone (262) 303-5055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100253078 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2720-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200
2835 N Grandview Blvd
Ste 100
Pewaukee, WI 53072
Phone (262) 574-1100
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Sheboygan, WI
- NPI 1558956722
Physical Therapist
-
dba ATI Physical Therapy
- Physical Therapist
- New Berlin, WI
- NPI 1659436368
-
dba ATI Physical Therapy
- Physical Therapist
- Pewaukee, WI
- NPI 1801907464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1619097326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 N GRANDVIEW BLVD STE 100",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530725546",
"telephone_number": "262-574-1100",
"fax_number": "262-574-5193"
}
],
"practiceLocations": [
{
"address_1": "2455 N 124th St",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530054630",
"country_code": "US",
"telephone_number": "615-778-4066",
"fax_number": "615-778-9114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "N15W28300 Golf Rd",
"address_purpose": "LOCATION",
"city": "Pewaukee",
"state": "WI",
"postal_code": "530724800",
"country_code": "US",
"telephone_number": "262-303-5055",
"fax_number": "262-303-5057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVENE",
"first_name": "JOHN",
"middle_name": "A.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2720-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100253078",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.