Active NPI
Nancy M Iuliano, P.T.
- Physical Therapist
- Kenosha, WI
National Provider Identifier
1891859591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2881-024
- Practice address
- 2717 18TH St
Suite 100
Kenosha, WI 53140-4666 - Phone
- (262) 551-5650
- Fax
- (866) 245-8064
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- 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 | 2881-024 | WI | Primary |
Addresses
Primary practice location
2717 18TH St
Suite 100
Kenosha, WI 53140-4666
Mailing address
PO Box 3497
Sturtevant, WI 53177-0300
Phone (888) 201-1040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 859400068 | Other | WI | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2881-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy & Rehab Specialists, S.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Kenosha, WI
- NPI 1326150624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1891859591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3497",
"city": "STURTEVANT",
"state": "WI",
"postal_code": "531770300",
"telephone_number": "888-201-1040",
"fax_number": "866-245-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 18TH ST",
"address_2": "SUITE 100",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531404666",
"telephone_number": "262-551-5650",
"fax_number": "866-245-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IULIANO",
"first_name": "NANCY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2881-024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "859400068",
"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 May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.