Ann Christine Vick, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

6453-24 Issued in WI

Practice address

3360 Gateway Rd Ste 200
Brookfield, WI 53045-5115

Phone

(414) 964-4777

NPI assigned

Sep 12, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greenfield Rehabilitation Agency, Inc.

  • Physical Therapist
  • Brookfield, WI
  • NPI 1790230571
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1952137150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S72W26120 VISTA DEL TIERRA",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531899521",
            "telephone_number": "262-894-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 GATEWAY RD STE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455115",
            "telephone_number": "414-964-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICK",
        "first_name": "ANN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WI",
            "license": "6453-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Verenski, DC
• Jeffrey Verhagen
• Alyssa Verne, COTA
• Josef Caesar Dayon Vero, PT (FCCPT CWT5)
• Vesta Memory Care, LLC
• Julian Vieth
• Tarianna Villanueva
• Antonio Christian Vincent
• Visage Facial Plastic Surgery SC
• Vision Mart, Inc

• Pediatric Physical Therapist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Pediatric Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.