Elizabeth Jane Muellenbach, P.T.
Individual provider Active NPI Physical Therapist · Slinger, WI
NPI 1841409497 · NPPES record last updated Dec 13, 2021
Key facts
- NPI
- 1841409497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5661 (WI)
- Practice address
- 1048 E Commerce Blvd
Slinger, WI 53086-9326 - Phone
- (262) 644-6268
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 22
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Advanced Healthcare, Inc.
Practice addresses (Care Compare)
N112 W17975 Mequon Rd
Germantown, WI 53022-2425
Phone (262) 532-7600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060105000802 | WI | Practitioner - Physical Therapist in Private Practice | 0042233926 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Advanced Healthcare Inc | Current |
Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
N112W17975 Mequon Rd
Germantown, WI 53022
Phone (262) 532-7600
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
N168W20060 Main St
Jackson, WI 53037
Phone (262) 677-3003
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5661 | WI | Yes |
Addresses
Primary practice location
1048 E Commerce Blvd
Slinger, WI 53086-9326
Mailing address
3972 Elaines Way
Slinger, WI 53086-9631
Phone (262) 644-4512
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40284500 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | emuellenbach13740@direct.myadvocateaurora.org |
Other providers in Slinger, WI
- Lisa Claire McCoach
- Ashley McGuire
- Jennifer McKean
- Millenium Manor, LLC
- Jennifer Gail Miller
- Danielle C. Muhr
- Diane M. Nelson
- Makaylee Nimmer
- Mark Jonathan Oldenburg
- Jessica Olmschenk
All providers in Slinger, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.