NPIMap

Organization Active NPI

Nissenbaum and Schleusner Pro Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Middleton, WI
National Provider Identifier
1679353833
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC
Practice address
2248 Deming Way Ste 100
Middleton, WI 53562-5503
Phone
(608) 841-1290
Fax
(608) 841-1299
NPI assigned
Oct 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2248 Deming Way Ste 100
Middleton, WI 53562-5503

Mailing address

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

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.

Practitioners & affiliated clinicians

Practitioners 5

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": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1679353833",
    "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": "2248 DEMING WAY STE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625503",
            "telephone_number": "608-841-1290",
            "fax_number": "608-841-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "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": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 4, 2023; 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.