NPIMap

Organization Active NPI

Kerk Physical Therapy Specialists SC

  • Physical Therapy Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1881643005
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KERK PHYSICAL THERAPY SPECIALISTS SC
Practice address
731 N. Jackson Street
Suite 800
Milwaukee, WI 53202-4612
Phone
(414) 224-8219
Fax
(414) 224-8246
NPI assigned
May 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Andrew J Kerk, PTNPI 1417906926
Title
President
Phone
(262) 695-3057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

731 N. Jackson Street
Suite 800
Milwaukee, WI 53202-4612

Mailing address

1177 Quail CT Ste 200
Pewaukee, WI 53072
Phone (262) 695-3057

Other identifiers 1

IdentifierTypeStateIssuer
40424400MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000184 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608853122 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Milwaukee, WI; Pewaukee, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kerk Physical Therapy Specialist SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

807 N Jefferson St
Milwaukee, WI 53202
Phone (414) 224-8219

731 N Jackson St
Ste 800
Milwaukee, WI 53202
Phone (414) 224-8219

1177 Quail Ct
Ste 200
Pewaukee, WI 53072
Phone (262) 695-3057

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1881643005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 QUAIL CT STE 200",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "53072",
            "telephone_number": "262-695-3057",
            "fax_number": "262-695-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N. JACKSON STREET",
            "address_2": "SUITE 800",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024612",
            "telephone_number": "414-224-8219",
            "fax_number": "414-224-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERK PHYSICAL THERAPY SPECIALISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-06",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "KERK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-695-3057",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40424400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.