Active NPI
Kimberly Miklas, DPT
- Physical Therapist
- Greenfield, WI
National Provider Identifier
1750761797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12000-24
- Practice address
- 4500 W Loomis Rd
Greenfield, WI 53220-4819 - Phone
- (414) 325-5300
- NPI assigned
- Jun 4, 2015
- 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 | 12000-24 | WI | Primary |
Addresses
Primary practice location
4500 W Loomis Rd
Greenfield, WI 53220-4819
Mailing address
4500 W Loomis Rd
Greenfield, WI 53220-4819
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 |
|---|---|---|---|
| 12000-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1750761797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 W LOOMIS RD",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 W LOOMIS RD",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204819",
"telephone_number": "414-325-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKLAS",
"first_name": "KIMBERLY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12000-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, WI
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- Midwest Audiology & Hearing Center, LLC
- Midwest Infectious Disease Consultants, LLC
- Midwest Medical Services LLC
- Madeline Mihm
- Lareesha Miller
- Milwaukee ASC LLC (Milwaukee Endoscopy Center)
- Milwaukee Catholic Home, Inc.
- Milwaukee Family Dental Clinic, S.C.
- Milwaukee Family Health Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.