Individual provider Active NPI

Margaret Ann Pierce, RPT

  • Physical Therapist
  • Verona, WI
National Provider Identifier
1518170604
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1477-24 Issued in WI
Practice address
1049 N Edge Trail
Stellar Rehabilitation
Verona, WI 53593-1942
Phone
(608) 845-2100
NPI assigned
May 7, 2007
Last updated
May 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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 1477-24 WI Primary

Addresses

Primary practice location

1049 N Edge Trail
Stellar Rehabilitation
Verona, WI 53593-1942

Mailing address

W8054 Richard Rd
Arlington, WI 53911-9792
Phone (608) 206-1255

Other identifiers 2

IdentifierTypeStateIssuer
E40009300MedicaidWI
1477-24OtherWISTATE OF WISCONSIN DEPARTMENT OF SAFETY AND REGULATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131024001326 WI Practitioner - Physical Therapist in Private Practice 8921233164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

110 Park Dr
Colfax, WI 54730-8902
Phone (715) 962-3186

1111 E Capitol Dr
Shorewood, WI 53211-1810
Phone (414) 312-8146

115 Bowman Rd
Wisconsin Dells, WI 53965-1806
Phone (608) 684-0123

1901 Libal St
Green Bay, WI 54301-2452
Phone (920) 430-8500

2210 Dufek Dr
Manitowoc, WI 54220-9356
Phone (920) 652-0534

4719 Kingdom CT
Caledonia, WI 53402-9418
Phone (262) 681-7201

478 W Arndt St
Fond Du Lac, WI 54935-2109
Phone (920) 933-6304

820 Schelfhout LN
Kimberly, WI 54136-2064
Phone (920) 362-0537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1477-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients

Locations

1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1518170604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8054 RICHARD RD",
            "city": "ARLINGTON",
            "state": "WI",
            "postal_code": "539119792",
            "telephone_number": "608-206-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 N EDGE TRAIL",
            "address_2": "STELLAR REHABILITATION",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931942",
            "telephone_number": "608-845-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1477-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E40009300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN DEPARTMENT OF SAFETY AND REGULATION",
            "identifier": "1477-24",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.