Cheryl A. Kalupa

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

120-019 Issued in WI

Practice address

9449 W Forest Home Ave
Hales Corners, WI 53130-1611

Phone

(414) 529-6888

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1619141900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18485 W EVERGREEN PL",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531462710",
            "telephone_number": "262-786-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 W FOREST HOME AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301611",
            "telephone_number": "414-529-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUPA",
        "first_name": "CHERYL",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "120-019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40167300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J&K Home Care Services LLC
• Steven Joseph Jagemann, D.D.S.
• James C. Boudreau, DPM, SC
• Danielle Jones, LMT
• Journey Together ABA
• David Reed Keeling, DMD
• Keith D. Clemence, DDS
• Talene Kelegian
• S John Kim, MD
• Emalie King, M.S. SLP

• Physical Therapy Assistant in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.