KATHERINE BLANEY PT
NPI 1720217276
Physical Therapist in Wauwatosa, WI

Active since July 06, 2009Accepts Medicare Assignment
92.76/100
CMS Quality Rating
8837 W NORTH AVE, WAUWATOSA, WI 53226(414) 257-0300 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2018, Jun 20, 2018 (2 updates tracked since 2018).

About Katherine Blaney Pt NPPES

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

KATHERINE BLANEY PT (NPI 1720217276) is an individual physical therapist in Wauwatosa, Wisconsin, licensed in Wisconsin (12550-24) and active in the NPI registry since July 2009. She maintains a secondary practice location in Des Plaines and is a graduate of Other (2009).

NPPES Registry Identity

NPI1720217276
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKATHERINE BLANEYCredential: PT
Location Address8837 W NORTH AVEWauwatosa, WI 53226
Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 590-4029
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 6, 2009
Last NPPES UpdateDecember 7, 20182 updates tracked since enumeration
✔ NPI 1720217276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 12550-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
8837 W NORTH AVE, Wauwatosa, WI 53226

Other Names 1

Former Name (1)Katherine Zmolek

Secondary Practice Location 1

Location 1900 Rand Rd, Suite 110Des Plaines, IL 60016-2359 · Phone (847) 954-7646

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Blaney Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183763105
PECOS Enrollment IDI20091204000470, I20131213000407

Medicare Billing Reassignment

Medicare enrollment records show Katherine Blaney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
2615 N DOWNER AVE
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin and Illinois enrollments
  • Also billed through NPI 1821085028 (Illinois)
  • 105 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.48
Improvement Activities40

Other Providers at the Same Location NPPES

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

Physical Therapist
8837 W NORTH AVE
WAUWATOSA, WI 53226

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 Katherine Blaney's NPI number?

The NPI number for Katherine Blaney is 1720217276. It was assigned to this individual provider in the NPPES registry on July 6, 2009. The provider is also known as Katherine Zmolek.

Where is Katherine Blaney located?

Katherine Blaney practices at 8837 W North Ave, Wauwatosa, WI 53226. The listed phone number is (414) 257-0300.

What is Katherine Blaney's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Katherine Blaney enrolled in Medicare?

Yes. Katherine Blaney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katherine Blaney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Blaney reassigns Medicare benefits to Athletico Ltd (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Blaney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Blaney accept?

Health plans from UnitedHealthcare list Katherine Blaney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Blaney was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.