Individual provider Active NPI

Anna Ingstrup, PT, DPT

  • Physical Therapist
  • Kenosha, WI
National Provider Identifier
1568037315
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15393-24 Issued in WI
Practice address
3620 57TH Ave Ste 400
Kenosha, WI 53144-4925
Phone
(262) 925-5250
Fax
(262) 925-5251
NPI assigned
May 24, 2021
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 15393-24 WI Primary

Addresses

Primary practice location

3620 57TH Ave Ste 400
Kenosha, WI 53144-4925

Mailing address

7907 S 67TH St
Franklin, WI 53132-9299
Phone (847) 345-2375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210615000171 WI Practitioner - Physical Therapist in Private Practice 5092115964 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15393-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Physical Therapy & Sports Rehab, LLC CurrentSince Dec 31, 2021 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Dec 1, 2025 Accepting new patients
Advantage Physical Therapy & Sports Rehab, LLC Current Accepting new patients
Advantage Physical Therapy & Sports Rehab, LLC CurrentSince Dec 31, 2021 Accepting new patients
Comprehensive Orthopaedics SC Physical Therapist Past Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC Past Accepting new patients
Advantage PT & Sports Rehab LLC Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

204 S Pine St
Burlington, WI 53105
Phone (262) 767-9579

5301 S 108th St
Hales Corners, WI 53130
Phone (414) 529-7375

3620 57th Ave
Ste 400
Kenosha, WI 53144
Phone (262) 925-5250

5024 Green Bay Rd
Kenosha, WI 53144
Phone (262) 925-0200

2512 W Lincoln Ave
Milwaukee, WI 53215
Phone (414) 383-4600

2578 N Martin Luther King Dr
Milwaukee, WI 53212
Phone (414) 374-4256

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

9120 W Capitol Dr
Milwaukee, WI 53222
Phone (414) 251-3500

1300 S Green Bay Rd
Ste 205
Mount Pleasant, WI 53406
Phone (262) 898-3930

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

9809 39th Ave
Ste 2
Pleasant Prairie, WI 53158
Phone (262) 925-5080

24726 75th St
Salem, WI 53168
Phone (262) 843-8333

7137 236th Ave
Ste 101
Salem, WI 53168
Phone (262) 925-5060

3840 N Oakland Ave
Shorewood, WI 53211
Phone (414) 601-3711

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1568037315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 S 67TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329299",
            "telephone_number": "847-345-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 57TH AVE STE 400",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444925",
            "telephone_number": "262-925-5250",
            "fax_number": "262-925-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGSTRUP",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15393-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.