NPIMap

Organization Active NPI

Nissenbaum and Schleusner Pro Physical Therapy LLC

  • Physical Therapist
  • Fitchburg, WI
National Provider Identifier
1609448596
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC
Practice address
2881 Commerce Park Dr Ste B
Fitchburg, WI 53719-5136
Phone
(608) 413-0550
Fax
(608) 413-0552
NPI assigned
Jul 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Angela Webb-Buffington
Title
Business Office Manager
Phone
(608) 413-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2881 Commerce Park Dr Ste B
Fitchburg, WI 53719-5136

Mailing address

1118 Main St Ste a
Cross Plains, WI 53528-9477
Phone (608) 413-0550

Other names 1

  • PRO Physical Therapy - Fitchburg Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.proptgroup.com Nissenbaum and Schleusner Pro Physical Therapy LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161223000029 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668753070 Receives reassigned benefits from 15 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cross Plains, WI; Fitchburg, WI; Madison, WI; Middleton, WI; Sauk City, WI; Sun Prairie, WI

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nissenbaum and Schleusner Pro Physical Therapy LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

2881 Commerce Park Dr
Ste B
Fitchburg, WI 53719
Phone (608) 413-0550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1609448596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 MAIN ST STE A",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289477",
            "telephone_number": "608-413-0550",
            "fax_number": "608-413-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 COMMERCE PARK DR STE B",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195136",
            "telephone_number": "608-413-0550",
            "fax_number": "608-413-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "WEBB-BUFFINGTON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "608-413-0550"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.proptgroup.com",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "Nissenbaum and Schleusner Pro Physical Therapy LLC",
            "address_1": "1118 Main St",
            "city": "Cross Plains",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535289477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PRO Physical Therapy - Fitchburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.