Individual provider Active NPI

Ann Versluys, P.T.

  • Physical Therapist
  • Hampshire, IL
National Provider Identifier
1194054395
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070007733 Issued in IL
Practice address
895 S State St Ste 203
Hampshire, IL 60140-9600
Phone
(847) 683-4358
Fax
(847) 683-3580
NPI assigned
Dec 17, 2009
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05016211A IN
Physical Therapist 225100000X 070007733 IL Primary

Addresses

Primary practice location

895 S State St Ste 203
Hampshire, IL 60140-9600

Mailing address

12844 Coldwater Rd Ste B
Fort Wayne, IN 46845-8833
Phone (260) 497-7191

Other practice location 1

9823 Auburn Rd
Fort Wayne, IN 46825-2347
Phone (260) 497-7191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260528000490 IN Practitioner - Physical Therapist in Private Practice 5698245975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steppin' Up Physical Therapy, Inc.Group PAC ID 3476516071, 21 clinicians

Practice addresses (Care Compare)

9823 Auburn Rd
Fort Wayne, IN 46825-2347
Phone (260) 497-7191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070007733ILMDPhysical Therapist
05016211AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steppin Up Physical Therapy, Inc. Physical Therapist CurrentSince Jun 5, 2022 Accepting new patients
Steppin Up Physical Therapy, Inc. CurrentSince Jun 4, 2026 Accepting new patients
Kishwaukee Community Health Services Center Past Accepting new patients

Locations

12844 Coldwater Rd
Ste B
Fort Wayne, IN 46845

4303 Lahmeyer Rd
Fort Wayne, IN 46815
Phone (260) 443-3044

9823 Auburn Rd
Fort Wayne, IN 46825
Phone (260) 209-2769

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1194054395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12844 COLDWATER RD STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458833",
            "telephone_number": "260-497-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 S STATE ST STE 203",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601409600",
            "telephone_number": "847-683-4358",
            "fax_number": "847-683-3580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9823 Auburn Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468252347",
            "country_code": "US",
            "telephone_number": "260-497-7191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERSLUYS",
        "first_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05016211A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.