Kurt K Chapman, PT DPT CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5792024 Issued in WI

Practice address

1261 Elsie St
Fort Atkinson, WI 53538-1514

Phone

(608) 201-0641

Fax

(262) 458-2999

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prime Training, LLC

  • Physical Therapy Clinic/Center
  • Fort Atkinson, WI
  • NPI 1750846895

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1104852268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 ELSIE ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381514",
            "telephone_number": "608-201-0641",
            "fax_number": "262-458-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 ELSIE ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381514",
            "telephone_number": "608-201-0641",
            "fax_number": "262-458-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 S Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Whitewater",
            "state": "WI",
            "postal_code": "531901635",
            "country_code": "US",
            "telephone_number": "608-201-0641",
            "fax_number": "262-458-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "KURT",
        "middle_name": "K",
        "credential": "PT DPT CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5792024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40383700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari Lee Burnett, LPN
• William J Cannon, MD
• Barry P Cash, MD
• Kathleen Cauley
• Owen Chady, DPT
• Amanda Renee Cheek, O.D.
• Carol Jean Christensen, OTR
• Joyce Rene Christensen, RN
• Christine A Chuppa, M.D.
• Jeffrey A Cichocki, CRNA

• Physical Therapist in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.