Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. KIMBERLY L SLACK P.T.A.
NPI 1245278167
Physical Therapy Assistant in Milwaukee, WI

Active since June 03, 2006
2323 N LAKE DR, MILWAUKEE, WI 53211(414) 291-1066(414) 291-1077 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kimberly L Slack P.t.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY L SLACK P.T.A. (NPI 1245278167) is an individual physical therapy assistant in Milwaukee, Wisconsin, licensed in Wisconsin (890019) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1245278167
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameMRS. KIMBERLY L SLACKCredential: P.T.A.
Location Address2323 N LAKE DRMilwaukee, WI 53211-4508
Mailing Address2323 N Lake DrMilwaukee, WI 53211-4508 · (414) 291-1066 · Fax (414) 291-1077
Fax(414) 291-1077
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1245278167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in WI · 890019
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
2323 N LAKE DR, Milwaukee, WI 53211

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
2323 N LAKE DR
MILWAUKEE, WI 53211
Physical Therapist
2323 N LAKE DR
MILWAUKEE, WI 53211
Pharmacist
2323 N LAKE DR
MILWAUKEE, WI 53211
Pharmacist (Critical Care)
2323 N LAKE DR
MILWAUKEE, WI 53211
Pain Medicine (Interventional Pain Medicine)
2323 N LAKE DR
MILWAUKEE, WI 53211
Dietitian, Registered
2323 N LAKE DR
MILWAUKEE, WI 53211
Psychiatry & Neurology (Psychiatry)
2323 N LAKE DR, 1ST FLOOR
MILWAUKEE, WI 53211
Occupational Therapist
2323 N LAKE DR
MILWAUKEE, WI 53211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Slack's NPI number?

The NPI number for Kimberly Slack is 1245278167. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Kimberly Slack located?

Kimberly Slack practices at 2323 N Lake Dr, Milwaukee, WI 53211. The listed phone number is (414) 291-1066.

What is Kimberly Slack's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Kimberly Slack was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.