Active NPI
Ifeanyi H Osude, DPT
- Physical Therapist
- Germantown, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14480-24
- Practice address
- N112W17975 Mequon Rd
Germantown, WI 53022-2425 - Phone
- (262) 532-7680
- NPI assigned
- Nov 6, 2018
- 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 | 14480-24 | WI | Primary |
Addresses
Primary practice location
N112W17975 Mequon Rd
Germantown, WI 53022-2425
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other practice location 1
815 Lincoln Dr W Apt 7
West Bend, WI 53095-4754
Phone (815) 404-9290
Other practice location 2
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 247-4772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14480 | Medicaid | WI |
Other names 1
- Ifeanyi H Osude
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | iosude192154@direct.myadvocateaurora.org |
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 |
|---|---|---|---|
| 14480-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Advocate Aurora Healthcare | Past | Accepting new patients |
Locations
478 W Arndt St
Fond du Lac, WI 54935
Phone (920) 933-6304
N112W17975 Mequon Rd
Germantown, WI 53022
Phone (262) 532-7600
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
199 Cty Df
Juneau, WI 53039
Phone (262) 735-8005
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/Hhyp0HLTvlWluJy7STHeGfBt6VssX-DH/
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1245755487
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1003174087
-
- Orthopedic Physical Therapist
- Milwaukee, WI
- NPI 1386109429
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1316415565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N112W17975 MEQUON RD",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530222425",
"telephone_number": "262-532-7680"
}
],
"practiceLocations": [
{
"address_1": "815 Lincoln Dr W Apt 7",
"address_purpose": "LOCATION",
"city": "West Bend",
"state": "WI",
"postal_code": "530954754",
"country_code": "US",
"telephone_number": "815-404-9290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3003 W Good Hope Rd",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532092042",
"country_code": "US",
"telephone_number": "414-247-4772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSUDE",
"first_name": "IFEANYI",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-06",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14480-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14480",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3003 W Good Hope Rd",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532092042",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "iosude192154@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "3003 W Good Hope Rd",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532092042",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "IFEANYI",
"last_name": "OSUDE",
"middle_name": "H",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.