Individual provider Active NPI

Lindsay C Sowa, MPT

  • Physical Therapist
  • Kenosha, WI
National Provider Identifier
1629215017
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12928-24 Issued in WI
Practice address
5708 75TH St Unit B
Kenosha, WI 53142-3635
Phone
(262) 697-9135
Fax
(262) 697-9175
NPI assigned
Jan 7, 2009
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.016531 IL
Physical Therapist 225100000X 12928-24 WI Primary

Addresses

Primary practice location

5708 75TH St Unit B
Kenosha, WI 53142-3635

Mailing address

24014 W Renwick Rd Ste F
Plainfield, IL 60544-8708
Phone (800) 974-4378

Other practice location 1

543 Orchard St
Antioch, IL 60002-3107
Phone (800) 974-4378

Other names 1

  • Lindsay C Kraus Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209001383 WI Practitioner - Physical Therapist in Private Practice 3476708116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

5708 B 75TH St
Kenosha, WI 53142-3635
Phone (262) 697-9135

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.016531ILMDPhysical Therapist
12928-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Advantage Physical Therapy & Sports Rehab, LLC CurrentSince Jan 31, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 20, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Advantage Physical Therapy & Sports Rehab, LLC Current Accepting new patients
Advantage Physical Therapy & Sports Rehab, LLC CurrentSince Jan 31, 2022 Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients
Lifestyle Physical Therapy & Balance Center, PLLC Physical Therapist PastSince Aug 1, 2006 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

204 S Pine St
Burlington, WI 53105
Phone (262) 767-9579

5708 75th St
#B
Kenosha, WI 53142
Phone (262) 697-9135

5708 75th St
Unit B
Kenosha, WI 53142
Phone (262) 697-9135

2615 N Downer Ave
Milwaukee, WI 53211
Phone (414) 962-4400

9809 39th Ave
Ste 2
Pleasant Prairie, WI 53158
Phone (262) 925-5080

Organizations & group practices 8

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": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1629215017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24014 W RENWICK RD STE F",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448708",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 75TH ST UNIT B",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423635",
            "telephone_number": "262-697-9135",
            "fax_number": "262-697-9175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Orchard St",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "IL",
            "postal_code": "600023107",
            "country_code": "US",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOWA",
        "first_name": "LINDSAY",
        "middle_name": "C",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.016531",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12928-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "KRAUS",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.