Active NPI
Robert G. Busse, PT
- Physical Therapist
- Oshkosh, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3258-024
- Practice address
- 2100 D. Omro Road
Oshkosh, WI 54904 - Phone
- (920) 232-4040
- Fax
- (920) 232-4042
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3258-024 | WI | Primary |
Addresses
Primary practice location
2100 D. Omro Road
Oshkosh, WI 54904
Mailing address
4000 N Providence Ave
Appleton, WI 54913-8018
Phone (920) 257-2009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40267200 | Medicaid | WI | |
| 650019367 | Other | WI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
515 S Washburn St
Suite 100
Oshkosh, WI 54904-7951
Phone (920) 232-4040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3528 | WI | MD | Psychologist |
| 3258-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Spine Therapy of Oshkosh SC | Physical Therapist | Current | Accepting new patients |
Locations
4000 N Providence Ave
Appleton, WI 54913
Phone (920) 257-2000
1000 Midway Rd
Menasha, WI 54952
Phone (920) 257-2000
515 S Washburn St
Ste 100
Oshkosh, WI 54904
Phone (920) 232-4040
2100 Omro Rd
Ste D
Oshkosh, WI 54904
Phone (920) 232-4040
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Oshkosh, WI
- NPI 1952418816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1710907993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 N PROVIDENCE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138018",
"telephone_number": "920-257-2009",
"fax_number": "920-257-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 D. OMRO ROAD",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "54904",
"telephone_number": "920-232-4040",
"fax_number": "920-232-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSE",
"first_name": "ROBERT",
"middle_name": "G.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3258-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40267200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "650019367",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.