KENT CARLSON (NPI# 1477719151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477719151 |
| Entity Type | Individual |
| Full Name | KENT CARLSON |
| Credential | PT, MPT |
| Practice Address |
2835 N Grandview Blvd Suite 100 Pewaukee WI 53072-5546 |
| Mailing Address |
4240 S Coventry Rd New Berlin WI 53151-6145 |
| Practice Telephone | 2625745185 |
| Practice Fax Number | 2625745193 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2011-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 10398-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1477719151 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518953306 | Kent Arthur Carlson | Ophthalmology | 3401 S Broadway, Alexandria, MN 56308-3477 | 2005-09-27 |
| Street Address |
2835 N GRANDVIEW BLVD SUITE 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 |
| 1538581418 | Athletic and Therapeutic Institute of Milwaukee, LLC | Nurse Practitioner | 2835 N Grandview Blvd, Ste 100, Pewaukee, WI 53072-5546 | 2014-01-13 |
| 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 |
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| 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 | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679027221 | Kristen Nett | Physical Therapist | 2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072-5546 | 2016-08-12 |
| 1881868339 | Crystal Lynn Birkenstock | Physical Therapist | W293n3923 Round Hill Cir, Pewaukee, WI 53072-3159 | 2008-04-16 |
| 1134216161 | Heidi Laurel Lasnoski | Physical Therapist | 1177 Quail Ct Ste 200, Pewaukee, WI 53072-3768 | 2006-10-10 |
| 1558306332 | Evolution Exercise & Spine Center | Physical Therapist | N22 W27847 Edgewater Drive, Suite 103, Pewaukee, WI 53072-5402 | 2006-06-17 |
| 1235173782 | Brian John Bedalov | Physical Therapist | 2329 Silvernail Rd, Pewaukee, WI 53072-5402 | 2006-06-15 |
| 1639131451 | Sara Mockert Heberlein | Physical Therapist | 1300 Capitol Dr, Pewaukee, WI 53072-2535 | 2006-04-05 |
| 1447888607 | Jennifer Lynn Janowski | Physical Therapist | 2900 Golf Rd, Pewaukee, WI 53072-5449 | 2020-03-31 |
| 1336777622 | Rebecca Lynn Nault | Physical Therapist | 2900 Golf Rd, Pewaukee, WI 53072-5449 | 2020-03-31 |
| 1780235093 | James Jacob | Physical Therapist | 2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072-5546 | 2019-09-27 |
| 1295383297 | Hannah Zimmerman | Physical Therapist | 2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072-5546 | 2019-09-03 |
| Find all providers in PEWAUKEE | ||||
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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.