Active NPI
John Ochsenwald, ATC
- Athletic Trainer
- Milwaukee, WI
National Provider Identifier
1659673085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 123-39
- Practice address
- 3409 N Downer Ave
Pav 250, Sports Medicine
Milwaukee, WI 53211 - Phone
- (414) 229-6572
- Fax
- (414) 229-6671
- NPI assigned
- Nov 17, 2010
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 123-39 | WI | Primary |
Addresses
Primary practice location
3409 N Downer Ave
Pav 250, Sports Medicine
Milwaukee, WI 53211
Mailing address
N108W6989 Berkshire St
Cedarburg, WI 53012-1277
Phone (262) 375-2424
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1659673085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N108W6989 BERKSHIRE ST",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530121277",
"telephone_number": "262-375-2424",
"fax_number": "262-375-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3409 N DOWNER AVE",
"address_2": "PAV 250, SPORTS MEDICINE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53211",
"telephone_number": "414-229-6572",
"fax_number": "414-229-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCHSENWALD",
"first_name": "JOHN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "123-39",
"primary": true
}
],
"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 Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.