Active NPI
Andrea Klopp
- Physical Therapist
- Middleton, WI
National Provider Identifier
1134409089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11815-024
- Practice address
- 5330 Century Ave
Middleton, WI 53562-2007 - Phone
- (608) 203-8880
- NPI assigned
- Aug 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11815-024 | WI | Primary |
Addresses
Primary practice location
5330 Century Ave
Middleton, WI 53562-2007
Mailing address
22 Appomattox CT
Madison, WI 53705-4202
Phone (608) 213-9495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11815 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 11815-024 | WI | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Deforest, WI
- NPI 1073912119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1134409089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 APPOMATTOX CT",
"city": "MADISON",
"state": "WI",
"postal_code": "537054202",
"telephone_number": "608-213-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 CENTURY AVE",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535622007",
"telephone_number": "608-203-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOPP",
"first_name": "ANDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11815-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.