Active NPI
Tricho Medical LLC
- Prosthetics Case Management
- Wauwatosa, WI
National Provider Identifier
1902694037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Legal business name
- TRICHO MEDICAL LLC
- Practice address
- 11607 W Bluemound Rd Ste 101
Wauwatosa, WI 53226-3960 - Phone
- (414) 775-6257
- NPI assigned
- Apr 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlette Johnson, RN
- Title
- Ceo
- Phone
- (414) 775-6257
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
11607 W Bluemound Rd Ste 101
Wauwatosa, WI 53226-3960
Mailing address
6650 W State St # 230
Milwaukee, WI 53213-2827
Phone (414) 467-8212
National Provider Directory
National Provider DirectoryLocations
6650 W State St
#230
Milwaukee, WI 53213
11607 W Bluemound Rd
Ste 101
Wauwatosa, WI 53226
Phone (414) 775-6257
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetics Case Management
- Wauwatosa, WI
- NPI 1649068776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745884800000",
"number": "1902694037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6650 W STATE ST # 230",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532132827",
"telephone_number": "414-467-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11607 W BLUEMOUND RD STE 101",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263960",
"telephone_number": "414-775-6257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRICHO MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-29",
"last_updated": "2025-04-29",
"certification_date": "2025-04-28",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "CHARLETTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "414-775-6257",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.