Individual provider Active NPI

Cole J Lewandowski, PT, DPT

  • Physical Therapist
  • Kenosha, WI
National Provider Identifier
1851950778
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14676-24 Issued in WI
Practice address
3620 57TH Ave Ste 400
Kenosha, WI 53144-4925
Phone
(262) 925-5250
NPI assigned
Jun 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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 14676-24 WI Primary

Addresses

Primary practice location

3620 57TH Ave Ste 400
Kenosha, WI 53144-4925

Mailing address

600 52ND St Ste 240
Kenosha, WI 53140-3423

Other identifiers 1

IdentifierTypeStateIssuer
14676-24OtherWISTATE OF WISCONSIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715000651 WI Practitioner - Physical Therapist in Private Practice 7315272242 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Orthopedic Physical TherapyGroup PAC ID 4486891017, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

11702 W N Ave
Suite B
Wauwatosa, WI 53226-2132
Phone (262) 352-7868

590 W N Shore Dr
Hartland, WI 53029-8312
Phone (414) 763-2941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Physical Therapy & Sports Rehab, LLC CurrentSince Jun 18, 2019 Accepting new patients
Advantage Physical Therapy & Sports Rehab, LLC CurrentSince Jun 18, 2019 Accepting new patients
Wisconsin Orthopedic Physical Therapy Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Wisconsin Orthopedic Physical Therapy Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients
Advantage Physical Therapy & Sports Rehab, LLC Current Accepting new patients
PT Pros LLC Physical Therapist PastSince Jun 18, 2019 Accepting new patients

Locations

204 S Pine St
Burlington, WI 53105
Phone (262) 767-9579

590 W North Shore Dr
Hartland, WI 53029
Phone (414) 763-2941

600 52nd St
Ste 240
Kenosha, WI 53140
Phone (262) 656-0006

10222 74th St
Ste 211
Kenosha, WI 53142
Phone (262) 925-5020

3620 57th Ave
Ste 400
Kenosha, WI 53144
Phone (262) 925-5250

3921 30th Ave
Ste C
Kenosha, WI 53144
Phone (262) 925-5000

7200 Washington Ave
Ste D103
Mount Pleasant, WI 53406
Phone (262) 583-0790

11702 W North Ave
#B
Wauwatosa, WI 53226
Phone (262) 352-7868

11702 W North Ave
Wauwatosa, WI 53226

Organizations & group practices 6

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1851950778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 52ND ST STE 240",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 57TH AVE STE 400",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444925",
            "telephone_number": "262-925-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "COLE",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14676-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN",
            "identifier": "14676-24",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.