KAITLIN GROMACKI (NPI# 1801278205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801278205 |
| Entity Type | Individual |
| Full Name | KAITLIN GROMACKI |
| Credential | PT |
| Practice Address |
3611 S Chicago Ave Suite 120 South Milwaukee WI 53172-3738 |
| Mailing Address |
7111 21st Ave Kenosha WI 53143-5310 |
| Practice Telephone | 4147662440 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
13079-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3611 S CHICAGO AVE SUITE 120 |
| City | SOUTH MILWAUKEE |
| State | WI |
| Zip Code | 53172-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295837193 | John P Vieau | Physician Assistant | 3611 S Chicago Ave, South Milwaukee, WI 53172-3738 | 2006-09-01 |
| 1659780229 | Katie J Rasmussen | Physician Assistant | 3611 S Chicago Ave, South Milwaukee, WI 53172-3738 | 2014-08-07 |
| 1730488404 | Jillian Huyck Hudson | Family Medicine | 3611 S Chicago Ave, Suite 100, South Milwaukee, WI 53172-3738 | 2011-03-21 |
| 1114087053 | Lakeshore Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 3611 S Chicago Ave, South Milwaukee, WI 53172-3708 | 2006-12-11 |
| 1154480820 | Jill C Lyons | Physical Therapist | 3611 S Chicago Ave, Sutie 120, South Milwaukee, WI 53172-3708 | 2006-12-08 |
| 1962579243 | David J Pencikowski | Nurse Practitioner | 3611 S Chicago Ave, South Milwaukee, WI 53172-3738 | 2006-11-29 |
| 1952489445 | Paul E. Robey | Family Medicine | 3611 S Chicago Ave, Ste 100, South Milwaukee, WI 53172-3738 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952860272 | Aaron J Schricker | Counselor | 827 Milwaukee Ave, South Milwaukee, WI 53172 | 2019-03-16 |
| 1699162883 | Callie Talatzko | Registered Nurse | 1638 Minnesota Ave, South Milwaukee, WI 53172 | 2015-04-25 |
| 1043556756 | Shawna Penelope Vasquez | Occupational Therapist | 1425 Mackinac Ave, Apt # 501, South Milwaukee, WI 53172 | 2012-12-27 |
| 1376840124 | Leah Ann Schmidt | Licensed Practical Nurse | 414 Southtowne Drive, 205, South Milwaukee, WI 53172 | 2011-02-14 |
| 1619164910 | Assisted Living Concepts Inc | Assisted Living Facility | 3829 South Chicago Avenue, South Milwaukee, WI 53172 | 2007-10-01 |
| 1194844134 | Emily Ladich | Nurse Practitioner | 2901 South Chicago Avenue Ste 1, South Milwaukee, WI 53172 | 2007-03-29 |
| 1457477143 | Matthew G Bruins | Occupational Therapist | 3601 S. Chicago Avenue, South Milwaukee, WI 53172 | 2007-03-22 |
| 1134296718 | Ram K Mittal | Surgery | 100 15th Avenue, Suit 170, South Milwaukee, WI 53172 | 2006-11-29 |
| 1689915514 | Wal-mart Stores East Lp | Technician/Technologist | 222 N Chicago Ave, South Milwaukee, WI 53172 | 2013-03-01 |
| 1174799506 | School District of South Milwaukee | Local Education Agency (LEA) | 901 15th Ave, South Milwaukee, WI 53172 | 2008-05-06 |
| Find all providers in zip 53172 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281760 | Devin Rorabeck | Physical Therapist | 1355 Awatukee Trl, Hudson, WI 54016-6936 | 2020-07-03 |
| 1235755265 | Andrew Roland Olson | Physical Therapist | 1507 W Knapp St Unit 1, Rice Lake, WI 54868-1384 | 2020-06-25 |
| 1730641887 | Jessica Solfest | Physical Therapist | 301 S Westfield Rd, Madison, WI 53717-1730 | 2019-04-05 |
| 1093294068 | Andrew Bidney | Physical Therapist | 945 N 12th St Rm 1100, Milwaukee, WI 53233-1305 | 2018-08-10 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1144753542 | Promotion Physical Therapy | Physical Therapist | 2836 Steamboat Springs Run, Green Bay, WI 54313-9220 | 2017-04-04 |
| 1962959114 | Mary E Campbell | Physical Therapist | 1249 W Liebau Rd Ste 100, Mequon, WI 53092-3397 | 2016-09-06 |
| 1255781597 | Patrick Christopherson | Physical Therapist | 11702 W North Ave, Wauwatosa, WI 53226-2132 | 2016-06-17 |
| 1730565037 | Julia Badding | Physical Therapist | 14625 W Capitol Dr Ste 200, Brookfield, WI 53005-2318 | 2015-08-10 |
| 1811221344 | Mariann Schuster | Physical Therapist | 4125 N 124th St Ste A, Brookfield, WI 53005-1837 | 2009-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH MILWAUKEE |
| Zip Code | 53172 |
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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.