Active NPI
Courtney Malina Kinney, PT
- Physical Therapist
- New Berlin, WI
National Provider Identifier
1730604935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5891-024
- Practice address
- 14555 W National Ave
New Berlin, WI 53151-4494 - Phone
- (262) 827-2929
- NPI assigned
- Aug 8, 2017
- Last updated
- Aug 8, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5891-024 | WI | Primary |
Addresses
Primary practice location
14555 W National Ave
New Berlin, WI 53151-4494
Mailing address
2350 Buckingham PL
Brookfield, WI 53045-4144
Phone (414) 702-8652
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 |
|---|---|---|---|
| 5891-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1730604935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 BUCKINGHAM PL",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530454144",
"telephone_number": "414-702-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14555 W NATIONAL AVE",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531514494",
"telephone_number": "262-827-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "COURTNEY",
"middle_name": "MALINA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5891-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.