Active NPI
Kim Maggiori, P.T.
- Physical Therapist
- Milwaukee, WI
National Provider Identifier
1720294028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 912 N Hawley Rd
Milwaukee, WI 53213-3222 - Phone
- (414) 615-0100
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
912 N Hawley Rd
Milwaukee, WI 53213-3222
Mailing address
N54W17640 Walnut Way
Menomonee Falls, WI 53051-7853
Phone (262) 415-5136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40208800 | Medicaid | WI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1720294028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N54W17640 WALNUT WAY",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530517853",
"telephone_number": "262-415-5136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 N HAWLEY RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532133222",
"telephone_number": "414-615-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGIORI",
"first_name": "KIM",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40208800",
"state": "WI"
}
],
"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 Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.