Individual provider Active NPI

Nathan Anthony Barnes

  • Physical Therapist
  • Wauwatosa, WI
National Provider Identifier
1427935840
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17491-24 Issued in WI
Practice address
10460 W Innovation Dr Ste 102
Wauwatosa, WI 53226-4881
Phone
(414) 563-1230
NPI assigned
Aug 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 17491-24 WI Primary
Physical Therapist 225100000X

Addresses

Primary practice location

10460 W Innovation Dr Ste 102
Wauwatosa, WI 53226-4881

Mailing address

451 E Erie St
Milwaukee, WI 53202-6159
Phone (414) 272-8482

Other practice location 1

136 N Main St # 308
Thiensville, WI 53092-1606
Phone (262) 518-0030

Other practice location 2

451 E Erie St
Milwaukee, WI 53202-6159
Phone (414) 272-8482

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251006002776 WI Practitioner - Physical Therapist in Private Practice 3577060771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians

Practice addresses (Care Compare)

451 E Erie St
Milwaukee, WI 53202-6159
Phone (414) 272-8482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians of Wisconsin, LLC CurrentSince Sep 24, 2025 Accepting new patients
Independent Physicians of Wisconsin, LLC CurrentSince Sep 24, 2025 Accepting new patients

Locations

451 E Erie St
Milwaukee, WI 53202
Phone (414) 272-8482

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

136 N Main St
Ste 308
Thiensville, WI 53092
Phone (262) 478-0920

10460 W Innovation Dr
Ste 102
Wauwatosa, WI 53226
Phone (414) 563-1230

Interoperability endpoints

  • Direct secure messaging: nathan.barnes.1@18758.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1427935840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E ERIE ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026159",
            "telephone_number": "414-272-8482",
            "fax_number": "414-272-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10460 W INNOVATION DR STE 102",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264881",
            "telephone_number": "414-563-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 N Main St # 308",
            "address_purpose": "LOCATION",
            "city": "Thiensville",
            "state": "WI",
            "postal_code": "530921606",
            "country_code": "US",
            "telephone_number": "262-518-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 E Erie St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532026159",
            "country_code": "US",
            "telephone_number": "414-272-8482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "NATHAN",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17491-24",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.