Active NPI
Michelle Renee Baerenwald, P.T.
- Physical Therapist
- Greenfield, WI
National Provider Identifier
1942573647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3820-24
- Practice address
- 7517 W Coldspring Rd
Greenfield, WI 53220-2814 - Phone
- (414) 327-6603
- NPI assigned
- Feb 12, 2012
- 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 | 3820-24 | WI | Primary |
Addresses
Primary practice location
7517 W Coldspring Rd
Greenfield, WI 53220-2814
Mailing address
W2505 Fieldside CT
Appleton, WI 54915-8735
Phone (920) 788-6533
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 |
|---|---|---|---|
| 3820-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329004800000",
"number": "1942573647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W2505 FIELDSIDE CT",
"city": "APPLETON",
"state": "WI",
"postal_code": "549158735",
"telephone_number": "920-788-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7517 W COLDSPRING RD",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532202814",
"telephone_number": "414-327-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAERENWALD",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-12",
"last_updated": "2012-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3820-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.