Lori Ann Keisic Hummel · Lori Ann Keisic Grillo · Physical Therapist

1160 Kepler Dr, Green Bay, WI 54311

Overview

Lori Ann Keisic Hummel is a Physical Therapist practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1508123928, which was assigned on April 23, 2012, and the registration record was last updated on April 4, 2025. The practitioner's main practice location is at 1160 Kepler Dr, Green Bay, WI 54311; the contact telephone number is 9202885475. The primary taxonomy of Lori Ann Keisic Hummel is Physical Therapist (225100000X). Lori Ann Keisic Hummel is licensed to practice in the state of Wisconsin (#9908).

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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.

Provider Information

NPI 1508123928
Entity Type Individual
Provider Name LORI ANN KEISIC HUMMEL
Other Name LORI ANN KEISIC GRILLO
(Former Name)
Gender Female
Credential PT
Other Credential PT
Practice Address 1160 Kepler Dr
Green Bay
WI 54311
Practice Telephone 9202885475
Mailing Address Po Box 735044
Chicago
IL 60673-5044
Mailing Telephone 8003262250
Certification Date 2025-04-04
Enumeration Date 2012-04-23
Last Update Date 2025-04-04
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y225100000XPhysical Therapist9908WI

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
100023056WIMEDICAID

Taxonomy Information

Primary Taxonomy

Code 225100000X
Taxonomy Physical Therapist
Classification Physical Therapist
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.
Notes: Source: American Physical Therapy Association [1/1/2020: definition modified] Additional resources: https://www.apta.org/PTCareers/RoleofaPT/

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Location Information

Street Address 1160 KEPLER DR
City GREEN BAY
State WI
Zip Code 54311
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Christina Anne Marien 1160 Kepler Dr, Green Bay, WI 54311-8321Psychiatric/Mental Health Nurse Practitioner2025-11-19
Kate Henniges Emme · Kate L Henniges 1160 Kepler Dr, Green Bay, WI 54311-8321Speech-Language Pathologist2018-07-31
Emma Jacobs 1160 Kepler Dr, Green Bay, WI 54311-8321Speech-Language Pathologist2021-02-18
Taylor A Kroll 1160 Kepler Dr, Green Bay, WI 54311-8321Physical Therapist2021-12-08
Nicole Behnke 1160 Kepler Dr, Green Bay, WI 54311-8321Occupational Therapist2021-08-25
Cassondra Frisque · Cassondra Steele 1160 Kepler Dr, Green Bay, WI 54311-8321Addiction (Substance Use Disorder) Counselor2020-07-07
Michaela Kay Bemis 1160 Kepler Dr, Green Bay, WI 54311-8321Occupational Therapist2023-03-28
Sierra R Milosch 1160 Kepler Dr, Green Bay, WI 54311-8321Occupational Therapist2020-02-20
Amy Lynn Roby 1160 Kepler Dr, Green Bay, WI 54311-8321Physical Therapist2022-07-22
Jenna Frye 1160 Kepler Dr, Green Bay, WI 54311-8321Occupational Therapist2021-08-30
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jenna R Mobile 3150 Gershwin Dr, Green Bay, WI 54311-4328Addiction (Substance Use Disorder) Counselor2026-01-31
Yogesh C Pareek 3150 Gershwin Dr, Green Bay, WI 54311-4328Psychiatry Physician2007-04-16
Taylor Lauren Shefchik · Taylor Smiley 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2024-10-02
Grace Woods 2605 Development Dr, Green Bay, WI 54311-4240Physician Assistant2025-09-03
Brittany Shoemaker 2633 Development Dr Ste 40, Green Bay, WI 54311-4239Dental Hygienist2025-09-29
Amritha Chandrahasa Karkera 2845 Greenbrier Rd, Green Bay, WI 54311Hematology & Oncology Physician2010-07-21
Paige Levi 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2024-01-17
Carrie Kraemer 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2023-10-04
Jamie Lee Noxon · Jamie Lee Johnston 1496 Bellevue St # 101, Green Bay, WI 54311-4205Mental Health Counselor2020-10-26
Ashley N Zellner 3150 Gershwin Dr, Green Bay, WI 54311-4328Mental Health Counselor2026-03-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.