David Michael Nissenbaum, MPT MA LAT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6391024 Issued in WI

Practice address

1118 Main St Ste a
Cross Plains, WI 53528-9477

Phone

(608) 413-0550

Fax

(608) 413-0552

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nissenbaum and Schleusner Pro Physical Therapy LLCGroup PAC ID 2668753070, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Nissenbaum and Schleusner Pro Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Cross Plains, WI
  • NPI 1821542853

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Nissenbaum and Schleusner Pro Physical Therapy LLC

  dba PRO Physical Therapy - Sun Prairie

  • Physical Therapist
  • Sun Prairie, WI
  • NPI 1316767213
  NPD
• Nissenbaum and Schleusner Pro Physical Therapy LLC

  dba PRO Physical Therapy - Middleton

  • Physical Therapy Clinic/Center
  • Middleton, WI
  • NPI 1558861302

  Physical Therapist

  NPD
• Sport & Spine Clinic of Fort Atkinson Limited Partnership

  • Physical Therapist
  • Johnson Creek, WI
  • NPI 1093207904
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1376502773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 MAIN ST STE A",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289477",
            "telephone_number": "608-413-0550",
            "fax_number": "608-413-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 MAIN ST STE A",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289477",
            "telephone_number": "608-413-0550",
            "fax_number": "608-413-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSENBAUM",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "MPT MA LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "209039",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6391024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Maloney, PHARMD
• Shawn Patrick McCue, D.D.S.
• Mjliechty Health Services (Cross Plains Family Chiropractic)
• Brittany Ann Nesbit, RN
• Nissenbaum and Schleusner Pro Physical Therapy LLC
• Tammy Lyn Olson, RN
• Shelley L Parrell, APRN
• Reeson Chiropractic LLC
• Dustin Alan Reeson, D.C.
• Theresa E Rudy, LPN LICENSED PRACTIC

• Physical Therapist in Cross Plains, WI
• Providers in Cross Plains, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.