Individual provider Active NPI

Kathryn Cabral, PT, DPT

  • Physical Therapist
  • Mequon, WI
National Provider Identifier
1760624001
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11638-24 Issued in WI
Practice address
10412 N Baehr Rd
Mequon, WI 53092-4472
Phone
(262) 236-0176
Fax
(262) 236-0178
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11638-24 WI Primary

Addresses

Primary practice location

10412 N Baehr Rd
Mequon, WI 53092-4472

Mailing address

10412 N Baehr Rd
Mequon, WI 53092-4472
Phone (262) 236-0176

Other identifiers 1

IdentifierTypeStateIssuer
11638-24OtherWIWI STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217002492 WI Practitioner - Physical Therapist in Private Practice 6305326463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresh Start Physical Therapy LLCGroup PAC ID 9032530050, 6 clinicians

Practice addresses (Care Compare)

10412 N Baehr Rd
Mequon, WI 53092-4472
Phone (262) 236-0176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11638-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Start Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2026 Accepting new patients

Locations

10412 N Baehr Rd
Mequon, WI 53092
Phone (262) 236-0176

Organizations & group practices 1

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1760624001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 N BAEHR RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924472",
            "telephone_number": "262-236-0176",
            "fax_number": "262-236-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 N BAEHR RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924472",
            "telephone_number": "262-236-0176",
            "fax_number": "262-236-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11638-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE LICENSE",
            "identifier": "11638-24",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.