Individual provider Active NPI

Luisa Domenica Montemurro, PT, DPT

  • Physical Therapist
  • Elkhorn, WI
National Provider Identifier
1891959557
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11062-24 Issued in WI
Practice address
1020 N Wisconsin St Ste 1
Elkhorn, WI 53121-1165
Phone
(262) 725-0237
Fax
(262) 740-3437
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 11062-24 WI Primary

Addresses

Primary practice location

1020 N Wisconsin St Ste 1
Elkhorn, WI 53121-1165

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (570) 550-0168

Other practice location 1

3601 30th Ave
Suite 103
Kenosha, WI 53144-1695
Phone (262) 925-0311

Other identifiers 2

IdentifierTypeStateIssuer
P00851037OtherWIRAILROAD MEDICARE NUMBER
0604410001OtherWIDMERC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000772 WI Practitioner - Physical Therapist in Private Practice 4587738570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTD 2,187 clinicians

Practice addresses (Care Compare)

1020 N Wisconsin St
SPC 1
Elkhorn, WI 53121-1165
Phone (262) 725-0237

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11062-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 4, 2024 Accepting new patients
Athletico LTD Physical Therapist PastSince Aug 4, 2024 Accepting new patients
Accelerated Rehabilitation Center of Kenosha LTD Physical Therapist Past Accepting new patients
Sports Physical Therapy & Rehab Specialists, S.C. Physical Therapist Past Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1020 N Wisconsin St
Ste 1
Elkhorn, WI 53121
Phone (262) 725-0237

1020 N Wisconsin St
Spc 1
Elkhorn, WI 53121
Phone (262) 725-0237

5708 75th St
#B
Kenosha, WI 53142
Phone (262) 697-9135

2615 N Downer Ave
Milwaukee, WI 53211
Phone (414) 962-4400

Interoperability endpoints

  • Direct secure messaging: luisa.montemurro.p7@direct.athleticoltd.nextgenshare.com
  • Direct secure messaging: luisa.montemurro.p9@direct.athleticoltd.nextgenshare.com

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1891959557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "570-550-0168",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N WISCONSIN ST STE 1",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211165",
            "telephone_number": "262-725-0237",
            "fax_number": "262-740-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 30th Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531441695",
            "country_code": "US",
            "telephone_number": "262-925-0311",
            "fax_number": "262-657-0632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTEMURRO",
        "first_name": "LUISA",
        "middle_name": "DOMENICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11062-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00851037",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0604410001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.