OrganizationActive
Athletic & Therapeutic Institute of Milwaukee LLC
NPI 1104138486 · Physical Therapist · Wauwatosa, WI
Provider details
- NPI number
- 1104138486
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Wade Meyer, Chief Compliance Officer(630) 296-2223
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6810 W State St
Wauwatosa, WI 53213-2807
Phone: (414) 259-0623
Fax: (414) 259-0746
Street-level locationGet directions
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other names (DBA / former)
- Doing business as
- Ati Physical Therapy
Registry dates
- Enumerated
- 2010-07-02
- Last updated
- 2026-02-10
- Certified
- 2026-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.