Active NPI
Stephen Ellis Messimer, PT
- Physical Therapist
- Madison, WI
National Provider Identifier
1265618441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9584-024
- Practice address
- 1806 W Beltline Hwy
Dean Therapy Center
Madison, WI 53713-2334 - Phone
- (608) 250-1485
- Fax
- (608) 250-1456
- NPI assigned
- Jan 17, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 9584-024 | WI | Primary |
Addresses
Primary practice location
1806 W Beltline Hwy
Dean Therapy Center
Madison, WI 53713-2334
Mailing address
1806 W Beltline Hwy
Dean Therapy Center
Madison, WI 53713-2334
Phone (608) 250-1485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60226 | Other | WI | DEAN HEALTH INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9584-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1265618441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 W BELTLINE HWY",
"address_2": "DEAN THERAPY CENTER",
"city": "MADISON",
"state": "WI",
"postal_code": "537132334",
"telephone_number": "608-250-1485",
"fax_number": "608-250-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 W BELTLINE HWY",
"address_2": "DEAN THERAPY CENTER",
"city": "MADISON",
"state": "WI",
"postal_code": "537132334",
"telephone_number": "608-250-1485",
"fax_number": "608-250-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSIMER",
"first_name": "STEPHEN",
"middle_name": "ELLIS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9584-024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "60226",
"state": "WI"
}
],
"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 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.