Michelle Nenneman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

861019 Issued in WI

Practice address

1905 W Hart Rd
Beloit, WI 53511-2230

Phone

(608) 365-7500

NPI assigned

Jan 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1669619151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HIGH ST",
            "city": "CLINTON",
            "state": "WI",
            "postal_code": "53525",
            "telephone_number": "608-365-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112230",
            "telephone_number": "608-365-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENNEMAN",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "861019",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160002250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galen Carlos Nelson, PHYSICIAN ASSISTANT
• Jo A Nelson, R PH
• Kathleen Nelson, PT
• Sarah Ann Nelson, MPT
• Thomas L Nelson, RPH PHARMACIST
• Robert A Nerad, PA-C
• Sarah Nerad
• Alexandra Newark, PT
• Melinda Newton, P.T.
• Dawn M Nicols, SAC-IT

• Physical Therapy Assistant in Beloit, WI
• Providers in Beloit, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.