Individual provider Active NPI

Lori L Brooks, MD

  • Physical Medicine & Rehabilitation Physician
  • Milwaukee, WI
National Provider Identifier
1790794451
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
32557 Issued in WI
Practice address
2500 W Layton Ave Ste 30
Milwaukee, WI 53221-5436
Phone
(262) 577-0250
Fax
(262) 577-0251
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 32557 WI Primary

Addresses

Primary practice location

2500 W Layton Ave Ste 30
Milwaukee, WI 53221-5436

Mailing address

2500 W Layton Ave Ste 40
Milwaukee, WI 53221-5420
Phone (262) 577-0250

Other practice location 1

2500 W Layton Ave Ste 40
Milwaukee, WI 53221-5420
Phone (262) 577-0250

Other practice location 2

1441 N Taylor Dr
Sheboygan, WI 53081-1989
Phone (262) 577-0250

Other identifiers 1

IdentifierTypeStateIssuer
32054100MedicaidWI

Other names 1

  • Lori L Vankoevering Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131230000827 WI Practitioner - Physical Medicine and RehabilitationPractitioner - Undersea and Hyperbaric Medicine 0749376812 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Undersea and Hyperbaric Medicine
Education
Medical College of Wisconsin, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Informe Healthcare Specialists LLCGroup PAC ID 3870905128, 6 clinicians
Informe Healthcare Il LLCGroup PAC ID 8123448784, 24 clinicians
Third Coast Vascular SCGroup PAC ID 8325425911, 6 clinicians

Practice addresses (Care Compare)

1110 Kepler Dr
Green Bay, WI 54311-8306
Phone (920) 304-9695

13111 N Port Washington Rd
FL 2
Thiensville, WI 53097-2416
Phone (414) 242-5468

1441 N Taylor Dr
Sheboygan, WI 53081-1989
Phone (920) 298-2821

Hospital & facility affiliations

  • Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107
  • Aurora Medical Center Sheboygan County Hospital, Sheboygan, WI, CCN 520035
  • St Nicholas Hospital Hospital, Sheboygan, WI, CCN 520044
  • Aurora Medical Ctr Manitowoc County Hospital, Two Rivers, WI, CCN 520034
  • Clearsky Rehabilitation Hospital Lakeshore Inpatient rehabilitation facility, Cleveland, WI, CCN 523035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32557WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Jan 6, 2013 Accepting new patients
Informe Healthcare Il LLC CurrentSince Nov 15, 2025 Accepting new patients
Third Coast Vascular SC Physical Medicine & Rehabilitation CurrentSince Jun 1, 2022 Accepting new patients
Azh Vascular Center Mke SC Current Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010

2500 W Layton Ave
Ste 40
Milwaukee, WI 53221
Phone (262) 577-0250

2500 W Layton Ave
Ste 30
Milwaukee, WI 53221
Phone (262) 577-0250

9252 N Green Bay Rd
Milwaukee, WI 53209
Phone (414) 527-5089

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

1441 N Taylor Dr
Sheboygan, WI 53081
Phone (262) 577-0250

13111 N Port Washington Rd
Fl 2
Thiensville, WI 53097
Phone (262) 292-0400

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25552/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lori.brooks.1@25552.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790794451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE STE 40",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215420",
            "telephone_number": "262-577-0250",
            "fax_number": "262-577-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE STE 30",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215436",
            "telephone_number": "262-577-0250",
            "fax_number": "262-577-0251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Layton Ave Ste 40",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532215420",
            "country_code": "US",
            "telephone_number": "262-577-0250",
            "fax_number": "262-577-0251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 N Taylor Dr",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530811989",
            "country_code": "US",
            "telephone_number": "262-577-0250",
            "fax_number": "262-577-0251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LORI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-03-07",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "32557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32054100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "VANKOEVERING",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.