Active NPI
Cole J Lewandowski, PT, DPT
- Physical Therapist
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14676-24
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14676-24 | Other | WI | STATE OF WISCONSIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
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 Therapy
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Physical Therapy & Sports Rehab, LLC | Current | Accepting new patients | |
| Advantage Physical Therapy & Sports Rehab, LLC | Current | Accepting new patients | |
| Wisconsin Orthopedic Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Wisconsin Orthopedic Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Advantage Physical Therapy & Sports Rehab, LLC | Current | Accepting new patients | |
| PT Pros LLC | Physical Therapist | Past | 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.
-
- Rehabilitation Clinic/Center
- Burlington, WI
- NPI 1881773463
-
- Physical Therapist
- Hartland, WI
- NPI 1285478743
-
- Physical Therapist
- Wauwatosa, WI
- NPI 1376883835
-
- Rehabilitation Clinic/Center
- Shorewood, WI
- NPI 1659032662
-
- Rehabilitation Clinic/Center
- Hayward, WI
- NPI 1902556012
-
- Physical Therapist
- Kenosha, WI
- NPI 1598133217
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.