Alyssa Kay Chmielewski, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0134190 Issued in VT

Practice address

1555 Heritage Blvd
West Salem, WI 54669-9404

Phone

(608) 786-4989

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, MN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services MN LLCGroup PAC ID 0941542591, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Fox Rehabilitation Services MN LLC

  • Physical Therapist
  • Minnetonka, MN
  • NPI 1356802862
  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Services Wi LLC

  • Physical Therapist
  • Milwaukee, WI
  • NPI 1518483973
  Medicare reassignment NPD
• Daulton Physical Therapy, LLC

  • Physical Therapist
  • Hudson, WI
  • NPI 1760806095
  NPD (past)

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1053985531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WHITE BIRCH TRL",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805305",
            "telephone_number": "218-343-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 HERITAGE BLVD",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699404",
            "telephone_number": "608-786-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMIELEWSKI",
        "first_name": "ALYSSA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burkhardt Physical Therapy Center LLC
• Myra Marie Burkhardt, PT
• Hannah Lorraine Butler
• Carly Baker
• Charles W Flume DDS SC
• Melissa Joy Choi, RN
• Clinic Pharmacy of West Salem Inc (Clinic Pharmacy Gifts & More)
• Claire S Collingwood, MT-BC
• Community Health Pharmacy LLC (Community Health Pharmacy)
• Coulee Diagnostic Radiology Inc

• Physical Therapist in West Salem, WI
• Providers in West Salem, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.