Joseph M Donati, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

4352-024 Issued in WI

Practice address

800 Lakefront Way
Two Rivers, WI 54241-3301

Phone

(920) 320-2436

Fax

(920) 682-1981

NPI assigned

Jul 18, 2006

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Froedtert Manitowoc Medical Group, LLC

  dba Froedtert Northeast Medical Group

  • Multi-Specialty Clinic/Center
  • Manitowoc, WI
  • NPI 1437829975
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1780603225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S 41ST ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542207316",
            "telephone_number": "920-320-3100",
            "fax_number": "920-320-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LAKEFRONT WAY",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413301",
            "telephone_number": "920-320-2436",
            "fax_number": "920-682-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATI",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WI",
            "license": "4352-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "T19 MANAGED HEALTH SERVIC",
            "identifier": "717685",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4033600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica L Dessart, NP
• Sarah Ann Dettwiler, LAT, PTA
• Natalia A Devore
• Alfredo Diaz, MD
• Lanan Rae Dixon, P.T.
• Paula Dow, R.N.
• Kaytlyn Rae Kramer Dummer, PHARMD
• John D Dusenbery, CRNA
• Amy R Dysart, MD
• Wayne K Edmonds, MS, LPC

• Pediatric Physical Therapist in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Pediatric Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.