Individual provider Active NPI

Ann Slinde, PT

  • Physical Therapist
  • Janesville, WI
National Provider Identifier
1053469338
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-011665 Issued in IL
Practice address
2050 Morse Street Suite 150
Janesville, WI 53545-2946
Phone
(608) 305-1028
Fax
(608) 554-4787
NPI assigned
Jan 5, 2007
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-011665 IL Primary

Addresses

Primary practice location

2050 Morse Street Suite 150
Janesville, WI 53545-2946

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440
Phone (866) 370-8206

Other practice location 1

412 Nelson Rd
New Lenox, IL 60451-2946
Phone (815) 462-1333

Other identifiers 1

IdentifierTypeStateIssuer
070-011665OtherILPT STATE LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517001610 WI Practitioner - Physical Therapist in Private Practice 5294191284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2050 Morse St
Suite 150
Janesville, WI 53545-0290
Phone (608) 305-1028

Merit-based Incentive Payment System (MIPS)

Final score
83.05 of 100Reported as group
Quality
88.38
Improvement activities
40
Cost
64.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-011665ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic & Therapeutic Institute of Milwaukee LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Current Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

2850 Milwaukee Rd
Ste 400
Beloit, WI 53511
Phone (608) 856-0054

2304 Lineville Rd
Ste 112
Green Bay, WI 54313
Phone (920) 321-0351

2394 Costco Way
Ste 120
Green Bay, WI 54311
Phone (920) 321-0348

2050 Morse St
#150
Janesville, WI 53545
Phone (608) 305-1028

10906 N Port Washington Rd
Spc 62
Mequon, WI 53092
Phone (262) 241-6777

S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200

2809 S Business Dr
Sheboygan, WI 53081
Phone (920) 803-2179

1769 S Main St
West Bend, WI 53095
Phone (262) 438-9943

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1053469338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60440",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 MORSE STREET SUITE 150",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535452946",
            "telephone_number": "608-305-1028",
            "fax_number": "608-554-4787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 Nelson Rd",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604512946",
            "country_code": "US",
            "telephone_number": "815-462-1333",
            "fax_number": "815-462-1360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLINDE",
        "first_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-011665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT STATE LICENSE #",
            "identifier": "070-011665",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.