Individual provider Active NPI

William Lois, DPT

  • Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1972632842
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10406-24 Issued in WI
Practice address
2121 S Kinnickinnic Ave
Suite 3
Milwaukee, WI 53207-1364
Phone
(414) 744-0707
Fax
(414) 744-0708
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10406-24 WI Primary

Addresses

Primary practice location

2121 S Kinnickinnic Ave
Suite 3
Milwaukee, WI 53207-1364

Mailing address

2121 S Kinnickinnic Ave
Suite 3
Milwaukee, WI 53207-1364
Phone (414) 744-0707

Other identifiers 1

IdentifierTypeStateIssuer
36143300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070924000017 WI Practitioner - Physical Therapist in Private Practice 6305930298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thera-Dynamics SCGroup PAC ID 8820010317, 11 clinicians

Practice addresses (Care Compare)

2121 S Kinnickinnic Ave
Suite 3
Milwaukee, WI 53207-1368
Phone (414) 541-1118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10406WIMDPharmacist
10406-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thera-Dynamics, S.C. Physical Therapist CurrentSince Jan 1, 2013 Accepting new patients
Frankford Health Associates LLC PastSince Jan 12, 2020 Accepting new patients

Locations

7708 W Good Hope Rd
Milwaukee, WI 53223
Phone (414) 541-1118

613 N 36th St
Unit 300
Milwaukee, WI 53208
Phone (414) 344-4100

2121 S Kinnickinnic Ave
Ste 3
Milwaukee, WI 53207
Phone (414) 541-1118

8800 W Lincoln Ave
West Allis, WI 53227
Phone (414) 541-1118

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1972632842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S KINNICKINNIC AVE",
            "address_2": "SUITE 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071364",
            "telephone_number": "414-744-0707",
            "fax_number": "414-744-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S KINNICKINNIC AVE",
            "address_2": "SUITE 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071364",
            "telephone_number": "414-744-0707",
            "fax_number": "414-744-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOIS",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10406-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36143300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.

Verify at the official NPI Registry.