Active NPI
Luisa Domenica Montemurro, PT, DPT
- Physical Therapist
- Elkhorn, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11062-24
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00851037 | Other | WI | RAILROAD MEDICARE NUMBER |
| 0604410001 | Other | WI | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11062-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Past | 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
- luisa.montemurro.p7@direct.athleticoltd.nextgenshare.com
- 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.
-
- Physical Therapist
- Kenosha, WI
- NPI 1326150624
-
- Physical Therapist
- Oak Brook, IL
- NPI 1649566951
-
- Physical Therapist
- Aurora, IL
- NPI 1699981415
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.