Andrew John Parker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12937-24 Issued in WI

Practice address

5400 N 118TH CT
Milwaukee, WI 53225-3086

Phone

(414) 257-4673

NPI assigned

Dec 26, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Milwaukee Pain Treatment Services SC

  • Anesthesiology Physician
  • Milwaukee, WI
  • NPI 1396830501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1760870877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 N 118TH CT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253086",
            "telephone_number": "414-257-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N 118TH CT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253086",
            "telephone_number": "414-257-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12937-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Park, DDS
• Samuel Park, DPT
• Sydney Elizabeth Park, PHD
• Tracy A Park, MD
• Parker Transportation LLC
• Gloria D. Parker, R.D., C.D., C.D.E.
• Jeffrey Royce Parker
• Kayla Parker, MS, CCC-SLP
• Keonia Parker
• Naomi Parker

• Physical Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.