Individual provider Active NPI

Margaret A Klamecki, PT

  • Physical Therapist
  • Oak Creek, WI
National Provider Identifier
1669563490
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4134024 Issued in WI
Practice address
8619 S Howell Ave
Oak Creek, WI 53154-2919
Phone
(800) 974-4378
Fax
(630) 515-1536
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4134024 WI Primary

Addresses

Primary practice location

8619 S Howell Ave
Oak Creek, WI 53154-2919

Mailing address

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

Other practice location 1

5700 S 108th St
Hales Corners, WI 53130-1911
Phone (800) 974-4378

Other identifiers 1

IdentifierTypeStateIssuer
40301800MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000269 WI Practitioner - Physical Therapist in Private Practice 4981696762 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3033 W Layton Ave
Suite 202
Milwaukee, WI 53221-2637
Phone (414) 567-3022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4134024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Feb 25, 2022 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Mar 8, 2021 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Feb 25, 2022 Accepting new patients
Orthopedic Surgeons of Wisconsin, S.C. Physical Therapist CurrentSince Jan 21, 2004 Accepting new patients
DPT Holdings LLC PastSince Mar 8, 2021 Accepting new patients

Locations

24014 W Renwick Rd
Ste F
Plainfield, IL 60544
Phone (815) 577-2488

3111 W Rawson Ave
Ste 200
Franklin, WI 53132
Phone (414) 325-4320

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727

5700 S 108th St
Hales Corners, WI 53130
Phone (414) 239-9448

3825 39th Ave
Ste 110
Kenosha, WI 53144
Phone (262) 605-6810

3033 W Layton Ave
Ste 202
Milwaukee, WI 53221
Phone (414) 567-3022

8619 S Howell Ave
Ste 260
Oak Creek, WI 53154

8619 S Howell Ave
Oak Creek, WI 53154
Phone (414) 405-6727

2323 N Mayfair Rd
Ste 300
Wauwatosa, WI 53226
Phone (414) 443-9862

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1669563490",
    "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": "8619 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542919",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 S 108th St",
            "address_purpose": "LOCATION",
            "city": "Hales Corners",
            "state": "WI",
            "postal_code": "531301911",
            "country_code": "US",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAMECKI",
        "first_name": "MARGARET",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4134024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40301800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.