Active NPI
Deanna Elliott Aussprung, PT, LAT, CSCS
- Physical Therapist
- Madison, WI
National Provider Identifier
1174747208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2580-24
- Practice address
- 313 Junction Rd
Madison, WI 53717-2613 - Phone
- (608) 658-5352
- Fax
- (888) 965-4018
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 45039 | WI | |
| Physical Therapist | 225100000X | 2580-24 | WI | Primary |
Addresses
Primary practice location
313 Junction Rd
Madison, WI 53717-2613
Mailing address
4834 Morris CT
Waunakee, WI 53597-9163
Phone (608) 658-5352
Other practice location 1
301 E 3rd St
Waunakee, WI 53597-2436
Phone (608) 658-5352
Other practice location 2
5477 Westshire Cir
Waunakee, WI 53597-9021
Phone (608) 658-5352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040220001050 | WI | Practitioner - Physical Therapist in Private Practice | 4082508973 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4834 Morris CT
Waunakee, WI 53597-9163
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45039 | WI | MD | Anesthesiology Physician |
| 2580-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1174747208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4834 MORRIS CT",
"city": "WAUNAKEE",
"state": "WI",
"postal_code": "535979163",
"telephone_number": "608-658-5352",
"fax_number": "888-965-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 JUNCTION RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537172613",
"telephone_number": "608-658-5352",
"fax_number": "888-965-4018"
}
],
"practiceLocations": [
{
"address_1": "301 E 3rd St",
"address_purpose": "LOCATION",
"city": "Waunakee",
"state": "WI",
"postal_code": "535972436",
"country_code": "US",
"telephone_number": "608-658-5352",
"fax_number": "888-965-4018",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5477 Westshire Cir",
"address_purpose": "LOCATION",
"city": "Waunakee",
"state": "WI",
"postal_code": "535979021",
"country_code": "US",
"telephone_number": "608-658-5352",
"fax_number": "888-965-4018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSSPRUNG",
"first_name": "DEANNA",
"middle_name": "ELLIOTT",
"name_prefix": "Mrs.",
"credential": "PT, LAT, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2020-11-16",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "45039",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2580-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 16, 2020; 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.