Active NPI
Cristina Essola, DPT, MPH
- Physical Therapist
- Milwaukee, WI
National Provider Identifier
1972949667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11467-24
- Practice address
- 3171 S 30TH St
Milwaukee, WI 53215-4313 - Phone
- (414) 659-6255
- NPI assigned
- May 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 11467-24 | WI | Primary |
Addresses
Primary practice location
3171 S 30TH St
Milwaukee, WI 53215-4313
Mailing address
2020 W Wells St
Milwaukee, WI 53233-2720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41056400 | Medicaid | WI |
Other names 1
- Cristina O'Brien
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11467-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1972949667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W WELLS ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532332720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3171 S 30TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154313",
"telephone_number": "414-659-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSOLA",
"first_name": "CRISTINA",
"credential": "DPT, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11467-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41056400",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTINA",
"last_name": "O'BRIEN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.