Individual provider Active NPI

Ryan Schmitt

  • Physical Therapist
  • Middleton, WI
National Provider Identifier
1487195772
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15561-24 Issued in WI
Practice address
6649 University Ave Ste a
Middleton, WI 53562-3021
Phone
(920) 382-3627
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X 15561-24 WI Primary
Athletic Trainer 2255A2300X 094058 IA

Addresses

Primary practice location

6649 University Ave Ste a
Middleton, WI 53562-3021

Mailing address

9601 Harvest Moon LN
Verona, WI 53593-8860
Phone (920) 382-3627

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907000855 WI Practitioner - Physical Therapist in Private Practice 5193121846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6649 University Ave
Suite 100
Middleton, WI 53562-3021
Phone (608) 841-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15561-24WIMDPhysical Therapist
094058IAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Nissenbaum and Schleusner Pro Physical Therapy LLC Physical Therapist Current Accepting new patients
Foremost Physical Therapy LLC Current Accepting new patients
Nissenbaum and Schleusner Pro Physical Therapy LLC Physical Therapist CurrentSince Aug 17, 2021 Accepting new patients
Nissenbaum and Schleusner Pro Physical Therapy LLC Physical Therapist CurrentSince Aug 17, 2021 Accepting new patients
Nissenbaum and Schleusner Pro Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

1118 Main St
#A
Cross Plains, WI 53528
Phone (608) 413-0550

1709 Monroe St
Madison, WI 53711
Phone (608) 509-8298

711 Rethke Ave
Ste 1
Madison, WI 53714
Phone (608) 841-1290

2248 Deming Way
Ste 100
Middleton, WI 53562
Phone (608) 658-5352

6649 University Ave
#100
Middleton, WI 53562
Phone (608) 836-0305

530 Water St
Sauk City, WI 53583
Phone (608) 413-0550

972 W Main St
Sun Prairie, WI 53590
Phone (608) 318-0052

Organizations & group practices 5

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1487195772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 HARVEST MOON LN",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535938860",
            "telephone_number": "920-382-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 UNIVERSITY AVE STE A",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623021",
            "telephone_number": "920-382-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15561-24",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "094058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2021; 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.