Active NPI
Andrea Mysliwiec
- Geriatric Physical Therapist
- Middleton, WI
National Provider Identifier
1447626692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 13661-24
- Practice address
- 9401 Old Sauk Rd
Middleton, WI 53562-4409 - Phone
- (608) 554-5004
- NPI assigned
- Aug 11, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 13661-24 | WI | Primary |
Addresses
Primary practice location
9401 Old Sauk Rd
Middleton, WI 53562-4409
Mailing address
9401 Old Sauk Rd
Middleton, WI 53562-4409
Other names 1
- Andrea O'Leary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5477 Westshire Cir
Waunakee, WI 53597-9021
Phone (608) 658-5352
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Physical Therapy, LLC | Current | Accepting new patients |
Locations
313 Junction Rd
Madison, WI 53717
Phone (608) 218-4020
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Madison, WI
- NPI 1295923308
-
- Rehabilitation Clinic/Center
- Deforest, WI
- NPI 1073912119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1447626692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 OLD SAUK RD",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535624409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 OLD SAUK RD",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535624409",
"telephone_number": "608-554-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYSLIWIEC",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "WI",
"license": "13661-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "O'LEARY",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.