NICOLE ROENIUS DPT
NPI 1760902647
Physical Therapist in Greendale, WI

Active since June 22, 2017
5404 W LOOMIS RD, GREENDALE, WI 53129(414) 421-0088(414) 421-2163 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Jul 21, 2022, Jun 22, 2017 (3 updates tracked since 2017).

About Nicole Roenius Dpt NPPES

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

NICOLE ROENIUS DPT (NPI 1760902647) is an individual physical therapist in Greendale, Wisconsin, licensed in Wisconsin (13802) and active in the NPI registry since June 2017. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1760902647
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE ROENIUSCredential: DPT
Location Address5404 W LOOMIS RDGreendale, WI 53129-1411
Mailing Address5404 W Loomis RdGreendale, WI 53129-1411 · (414) 421-0088 · Fax (414) 421-2163
Fax(414) 421-2163
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 22, 2017
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1760902647 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 · 13802
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.
5404 W LOOMIS RD, Greendale, WI 53129

Other Names 1

Former Name (1)Nicole Roth

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Roenius Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860992112
PECOS Enrollment IDI20250821004142

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.

Occupational Therapist
5404 W LOOMIS RD
GREENDALE, WI 53129
Speech-Language Pathologist
5404 W LOOMIS RD
GREENDALE, WI 53129
Speech-Language Pathologist
5404 W LOOMIS RD
GREENDALE, WI 53129
Physical Therapist
5404 W LOOMIS RD
GREENDALE, WI 53129
Occupational Therapy Assistant
5404 W LOOMIS RD
GREENDALE, WI 53129
Occupational Therapy Assistant
5404 W LOOMIS RD
GREENDALE, WI 53129
Occupational Therapy Assistant
5404 W LOOMIS RD
GREENDALE, WI 53129
Skilled Nursing Facility
5404 W LOOMIS RD
GREENDALE, WI 53129

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 Nicole Roenius's NPI number?

The NPI number for Nicole Roenius is 1760902647. It was assigned to this individual provider in the NPPES registry on June 22, 2017. The provider is also known as Nicole Roth.

Where is Nicole Roenius located?

Nicole Roenius practices at 5404 W Loomis Rd, Greendale, WI 53129. The listed phone number is (414) 421-0088.

What is Nicole Roenius's specialty?

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

Is Nicole Roenius enrolled in Medicare?

Yes. Nicole Roenius is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Roenius was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.