Madeline Tetzke

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15434-24 Issued in WI

Practice address

140 E Rawson Ave Ste 317
Oak Creek, WI 53154-1525

Phone

(262) 287-0090

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Medical Support Services Inc

  • Rehabilitation Clinic/Center
  • Mount Pleasant, WI
  • NPI 1114143781
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1871163014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W160N10476 BROOK HOLLOW DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530225708",
            "telephone_number": "262-527-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E RAWSON AVE STE 317",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541525",
            "telephone_number": "262-287-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETZKE",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15434-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dawn Svicek, PTA
• Symmetry Pain & Wellness Center LLC
• Jeff Taylor
• Veronica Tent, MD
• Gregg E Tetting, MD
• Claudine Mbala Tezzo, LPN
• Mai Vang Thao
• The Smith LLC
• Therapeutic Insight
• Therapy Plus of Wisconsin LLC

• Physical Therapist in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.