Individual provider Active NPI

Samantha J Dawes, DPT

  • Physical Therapist
  • Middleton, WI
National Provider Identifier
1487385670
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15868-24 Issued in WI
Practice address
6649 University Ave Ste 100
Middleton, WI 53562-3021
Phone
(608) 841-1290
Fax
(608) 841-1299
NPI assigned
Jun 20, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15868-24 WI Primary

Addresses

Primary practice location

6649 University Ave Ste 100
Middleton, WI 53562-3021

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.proptgroup.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712002967 WI Practitioner - Physical Therapist in Private Practice 4587044276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forward Physical Therapy LLCGroup PAC ID 9032451117, 6 clinicians

Practice addresses (Care Compare)

102 W Fulton St
Edgerton, WI 53534-1839
Phone (608) 561-7733

1118 Main St
Suite a
Cross Plains, WI 53528-9477
Phone (608) 658-6890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15868-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nissenbaum and Schleusner Pro Physical Therapy LLC Physical Therapist CurrentSince Jun 16, 2022 Accepting new patients
Nissenbaum and Schleusner Pro Physical Therapy LLC Physical Therapist CurrentSince Jun 16, 2022 Accepting new patients
Nissenbaum and Schleusner Pro Physical Therapy LLC Physical Therapist Current Accepting new patients
Forward Physical Therapy LLC Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients

Locations

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

102 W Fulton St
Edgerton, WI 53534
Phone (608) 290-5883

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 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1487385670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6649 UNIVERSITY AVE STE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623021",
            "telephone_number": "608-841-1290",
            "fax_number": "608-841-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 UNIVERSITY AVE STE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623021",
            "telephone_number": "608-841-1290",
            "fax_number": "608-841-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWES",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15868-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.proptgroup.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "6649 University Ave Ste 100",
            "city": "Middleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535623021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 20, 2022; 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.