Joellyn R Pfeilstifter

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5677-24 Issued in WI

Practice address

6222 Washington Ave
Mount Pleasant, WI 53406-3948

Phone

(262) 884-6418

Fax

(262) 884-6489

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Joellyn R Alwes Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Spine and SportGroup PAC ID 6800895855, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Advanced Spine and Sport

  • Physical Therapist
  • Mount Pleasant, WI
  • NPI 1033277553
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1487139259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6643 WALTER RALEIGH LN",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534062200",
            "telephone_number": "262-886-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 WASHINGTON AVE",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063948",
            "telephone_number": "262-884-6418",
            "fax_number": "262-884-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEILSTIFTER",
        "first_name": "JOELLYN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5677-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOELLYN",
            "last_name": "ALWES",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ricky A Person Sr., CSAC. ICS
• Amber N Peterson
• Amy Peterson, LPC-IT
• Bethany Petsch, PT, DPT
• Tera Pfarr, DC
• Sheryl Philip
• Matthew Adam Pilecki, MD
• Carol Pinnick, CPHT
• Sheena Pio, DC
• Alicia A Pirozzolo, RN

• Physical Therapist in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.