Individual provider Active NPI

Cheryl Timmer, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Wauwatosa, WI
National Provider Identifier
1710014469
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
3215 Issued in WI
Practice address
3333 N Mayfair Rd
Suite 101
Wauwatosa, WI 53222-3219
Phone
(414) 302-0770
Fax
(414) 302-0775
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 3215 WI Primary

Addresses

Primary practice location

3333 N Mayfair Rd
Suite 101
Wauwatosa, WI 53222-3219

Mailing address

3333 N Mayfair Rd
Suite 101
Wauwatosa, WI 53222-3219
Phone (414) 302-0770

Other names 1

  • Cheryl Wozniak Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831001369 WI Practitioner - Physical Therapist in Private Practice 0840265062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Orthopedic Specialty Hospital, LLCGroup PAC ID 7113078833, 65 clinicians

Practice addresses (Care Compare)

11415 W Burleigh St
Suite 109
Wauwatosa, WI 53222-3217
Phone (414) 239-9547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Jun 6, 2023 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC Current Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Jun 6, 2023 Accepting new patients
DPT Holdings PLLC CurrentSince Mar 10, 2021 Accepting new patients

Locations

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

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

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

8619 S Howell Ave
Ste 260
Oak Creek, WI 53154

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

11415 W Burleigh St
Ste 109
Wauwatosa, WI 53222
Phone (414) 239-9547

3333 N Mayfair Rd
Ste 101
Wauwatosa, WI 53222
Phone (414) 302-0770

Organizations & group practices 4

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1710014469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N MAYFAIR RD",
            "address_2": "SUITE 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223219",
            "telephone_number": "414-302-0770",
            "fax_number": "414-302-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N MAYFAIR RD",
            "address_2": "SUITE 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223219",
            "telephone_number": "414-302-0770",
            "fax_number": "414-302-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMER",
        "first_name": "CHERYL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "3215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "WOZNIAK",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.