Active NPI
Gregorio Aguilar Jr.
- Physical Therapy Assistant
- Waukesha, WI
National Provider Identifier
1912636408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3263-19
- Practice address
- 1810 Kensington Dr
Waukesha, WI 53188-5616 - Phone
- (262) 548-1400
- NPI assigned
- Jun 9, 2022
- Last updated
- Jun 9, 2022
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 3263-19 | WI | Primary |
Addresses
Primary practice location
1810 Kensington Dr
Waukesha, WI 53188-5616
Mailing address
W189N4998 Crest View Ter
Menomonee Falls, WI 53051-6414
Phone (773) 230-1641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3263-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1912636408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W189N4998 CREST VIEW TER",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530516414",
"telephone_number": "773-230-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 KENSINGTON DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885616",
"telephone_number": "262-548-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "GREGORIO",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "3263-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.