Individual provider Active NPI

Maurice Dumit, MPT

  • Orthopedic Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1619910759
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
6247024 Issued in WI
Practice address
2060 N Humboldt Ave
Suite 300
Milwaukee, WI 53212-3504
Phone
(414) 265-5606
Fax
(414) 265-5649
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 6247024 WI Primary

Addresses

Primary practice location

2060 N Humboldt Ave
Suite 300
Milwaukee, WI 53212-3504

Mailing address

2060 N. Humboldt Ave
Suite 300
Milwuakee, WI 53212
Phone (414) 265-5606

Other identifiers 1

IdentifierTypeStateIssuer
6247-024OtherWIPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060831000503 WI Practitioner - Physical Therapist in Private Practice 6507860889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Renovation Physical Therapy SCGroup PAC ID 3779688403, 15 clinicians

Practice addresses (Care Compare)

10590 N Port Washington Rd
Mequon, WI 53092-5537
Phone (262) 375-4975

2060 N Humboldt Blvd
Milwaukee, WI 53212-3530
Phone (414) 265-5606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6247024WIMDOrthopedic Physical Therapist

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619910759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 N. HUMBOLDT AVE",
            "address_2": "SUITE 300",
            "city": "MILWUAKEE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-265-5606",
            "fax_number": "414-265-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 N HUMBOLDT AVE",
            "address_2": "SUITE 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123504",
            "telephone_number": "414-265-5606",
            "fax_number": "414-265-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMIT",
        "first_name": "MAURICE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "6247024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "6247-024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 2026; 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.

Verify at the official NPI Registry.