Individual provider Active NPI

Katherine Blaney, PT

  • Physical Therapist
  • Wauwatosa, WI
National Provider Identifier
1720217276
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12550-24 Issued in WI
Practice address
8837 W North Ave
Wauwatosa, WI 53226
Phone
(414) 257-0300
NPI assigned
Jul 6, 2009
Last updated
Dec 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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
Physical Therapist 225100000X 12550-24 WI Primary

Addresses

Primary practice location

8837 W North Ave
Wauwatosa, WI 53226

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 590-4029

Other practice location 1

900 Rand Rd
Suite 110
Des Plaines, IL 60016-2359
Phone (847) 954-7646

Other names 1

  • Katherine Zmolek Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131213000407 WI Practitioner - Physical Therapist in Private Practice 4183763105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
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)

237 E Main St
Twin Lakes, WI 53181-9681
Phone (262) 877-4884

2615 N Downer Ave
Milwaukee, WI 53211-4245
Phone (414) 962-4400

30 Tower CT a
Gurnee, IL 60031-3322
Phone (847) 336-1520

315 N Milwaukee St
Waterford, WI 53185-4432
Phone (262) 514-2700

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

902 S Wells St
Lake Geneva, WI 53147-2422
Phone (262) 249-1915

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

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients

Locations

30 Tower Ct
Ste A
Gurnee, IL 60031
Phone (847) 336-1520

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

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

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

8837 W North Ave
Wauwatosa, WI 53226
Phone (414) 257-0300

Organizations & group practices 3

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1720217276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-590-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8837 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-257-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Rand Rd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600162359",
            "country_code": "US",
            "telephone_number": "847-954-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANEY",
        "first_name": "KATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12550-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "ZMOLEK",
            "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 Dec 7, 2018; 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.