NPIMap

Organization Active NPI

Nissenbaum and Schleusner Pro Physical Therapy LLC

Doing business as PRO Physical Therapy - Madison

  • Physical Therapist
  • Madison, WI
National Provider Identifier
1114684933
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC
Doing business as
PRO Physical Therapy - Madison
Practice address
711 Rethke Ave Ste 1
Madison, WI 53714-1404
Phone
(608) 841-1290
Fax
(608) 841-1299
NPI assigned
Nov 29, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Angela Webb-Buffington
Title
Business Office Manager
Phone
(608) 841-1290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

711 Rethke Ave Ste 1
Madison, WI 53714-1404

Mailing address

6649 University Ave Ste 100
Middleton, WI 53562-3021
Phone (608) 841-1290

Other names 1

  • PRO Physical Therapy - Madison Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.proptgroup.com Nissenbaum and Schleusner Pro Physical Therapy LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161223000029 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668753070 Receives reassigned benefits from 15 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cross Plains, WI; Fitchburg, WI; Madison, WI; Middleton, WI; Sauk City, WI; Sun Prairie, WI

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nissenbaum and Schleusner11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

711 Rethke Ave
Ste 1
Madison, WI 53714
Phone (608) 841-1290

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1114684933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6649 UNIVERSITY AVE STE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623021",
            "telephone_number": "608-841-1290",
            "fax_number": "608-841-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 RETHKE AVE STE 1",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141404",
            "telephone_number": "608-841-1290",
            "fax_number": "608-841-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "WEBB-BUFFINGTON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "608-841-1290"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.proptgroup.com",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "Nissenbaum and Schleusner Pro Physical Therapy LLC",
            "address_1": "6649 University Ave Ste 100",
            "city": "Middleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535623021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PRO Physical Therapy - Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.