ATHLETIC AND THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC (NPI# 1538581418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538581418 |
| Entity Type | Organization |
| Organization Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC |
| Other Organization Name | ATI ACTIVE CARE |
| Practice Address |
2835 N Grandview Blvd Ste 100 Pewaukee WI 53072-5546 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 2622621100 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |
| Authorized Official Name | LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6302962222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| ATI Active Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619252236 | Athletic and Therapeutic Institute of Milwaukee, LLC | Occupational Therapist | 2330 N Farwell Ave, Milwaukee, WI 53211-4401 | 2011-10-14 |
| 1306037163 | Athletic and Therapeutic Institute of Milwaukee, LLC | Occupational Therapist | 7224 118th Avenue, Suite E, Kenosha, WI 53142-7305 | 2007-08-07 |
| 1659436368 | Athletic and Therapeutic Institute of Milwaukee, LLC | Occupational Therapist | 15312 W Beloit Road, New Berlin, WI 53151 | 2006-12-22 |
| 1467880088 | Athletic and Therapeutic Institute of Milwaukee, LLC | Physical Therapist | 4861 S 27th St, Greenfield, WI 53221-2603 | 2013-10-16 |
| 1467794586 | Athletic and Therapeutic Institute of Milwaukee, LLC | Physical Therapist | 3111 W Rawson Ave, Suite 215, Franklin, WI 53132-9417 | 2013-03-27 |
| 1437418688 | Athletic and Therapeutic Institute of Milwaukee, LLC | Physical Therapist | 106 W Silver Spring Dr, Whitefish Bay, WI 53217-4707 | 2012-05-09 |
| 1942571708 | Athletic and Therapeutic Institute of Milwaukee, LLC | Physical Therapist | 10724 W Oklahoma Ave, West Allis, WI 53227-4144 | 2012-01-25 |
| 1366710584 | Athletic and Therapeutic Institute of Milwaukee, LLC | Occupational Therapist | 5502 Washington Ave, Suite 500, Mount Pleasant, WI 53406-4093 | 2011-12-02 |
| 1104138486 | Athletic and Therapeutic Institute of Milwaukee, LLC | Physical Therapist | 6810 W State St, Wauwatosa, WI 53213-2807 | 2010-07-02 |
| 1578895702 | Athletic and Therapeutic Institute of Milwaukee, LLC | Physical Therapist | 2912 S Business Dr, Sheboygan, WI 53081-6520 | 2010-02-15 |
| Street Address |
2835 N GRANDVIEW BLVD STE 100 |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-5546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366462319 | Mary Colleen Daly | Specialist/Technologist | 2835 N Grandview Blvd, Siute 100, Pewaukee, WI 53072-5531 | 2006-07-20 |
| 1396196424 | Cassandra Young | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2016-06-30 |
| 1417306853 | Michael Branda | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2016-06-07 |
| 1790152288 | Rebecca Gray | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2015-08-31 |
| 1376966580 | Bobbiejo Paul | Nurse Practitioner | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2014-01-23 |
| 1609131275 | Britni Dworak | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2012-07-10 |
| 1215296249 | Maria Kohlwey | Specialist/Technologist | 2835 N Grandview Blvd, Ste. 100, Pewaukee, WI 53072-5546 | 2012-05-11 |
| 1639481559 | Amy L Setz | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2010-07-08 |
| 1063660751 | Amy Louise Galati | Podiatrist | 2835 N Grandview Blvd, 300, Pewaukee, WI 53072-5546 | 2008-09-05 |
| 1477719151 | Kent Carlson | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2008-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508800624 | Pauline F Haririe | Nurse Practitioner | N27w23953 Paul Rd Ste 101, Pewaukee, WI 53072-6243 | 2006-06-16 |
| 1033183058 | Maureen R. Kuglitsch | Nurse Practitioner | Community Nursing Clinic At Wctc, 800 Main Street Room So173, Pewaukee, WI 53072 | 2006-02-15 |
| 1063907699 | Amanda Hoffman | Nurse Practitioner | N51w24953 Lisbon Rd, Pewaukee, WI 53072-1403 | 2018-06-26 |
| 1154395150 | Mary Beth Checkai | Nurse Practitioner | 800 Main St, Room So173 Community Nursing Clinic At Wctc, Pewaukee, WI 53072-4601 | 2006-02-15 |
| 1336113240 | Patricia A. Burke | Nurse Practitioner | Community Nursing Clinic At Wctc, 800 Main Street Room So173, Pewaukee, WI 53072 | 2006-02-15 |
| 1396727913 | Cynthia Ellen Filut | Nurse Practitioner | N15w28300 Golf Rd, Pewaukee, WI 53072-4800 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1346849510 | Haley Gabrielle Robers | Nurse Practitioner | 1043 Dresser Ave, Waukesha, WI 53188-4980 | 2020-10-20 |
| 1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
| 1700493566 | Karen Heckel | Nurse Practitioner | N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 | 2020-09-25 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1639782915 | Ana Stoica | Nurse Practitioner | 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 | 2020-08-26 |
| 1235740556 | Lucille Elizabeth Nathwani | Nurse Practitioner | Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-11 |
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.