NPIMap

Organization Active NPI

Physical Therapy of Milwaukee, LLC

  • Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1629411202
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY OF MILWAUKEE, LLC
Practice address
3906 S 27TH St
Milwaukee, WI 53221-1826
Phone
(414) 702-4678
Fax
(414) 423-4134
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Sylvestra Ramirez, PT, DPT, MWH, CEASNPI 1992012918
Title
Owner
Phone
(414) 702-4678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X WI Primary
Ergonomics Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1200X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

3906 S 27TH St
Milwaukee, WI 53221-1826

Mailing address

3906 S 27TH St
Milwaukee, WI 53221-1826
Phone (414) 281-3444

Other practice location 1

1238 S Cesar Chavez Drive Front
Milwaukee, WI 53221
Phone (414) 281-3444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130723000413 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648411355 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

1238 S Cesar E Chavez Dr
Frnt
Milwaukee, WI 53204
Phone (414) 281-3444

3906 S 27th St
Milwaukee, WI 53221
Phone (414) 281-3444

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1629411202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211826",
            "telephone_number": "414-281-3444",
            "fax_number": "414-281-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211826",
            "telephone_number": "414-702-4678",
            "fax_number": "414-423-4134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1238 S Cesar Chavez Drive Front",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53221",
            "country_code": "US",
            "telephone_number": "414-281-3444",
            "fax_number": "414-281-3435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF MILWAUKEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "SYLVESTRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-702-4678",
        "authorized_official_credential": "PT, DPT, MWH, CEAS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.