Active NPI
Donna Marie Frisque, P.T.
- Orthopedic Physical Therapist
- Madison, WI
National Provider Identifier
1710922166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 3165-024
- Practice address
- 4901 Cottage Grove Rd
Madison, WI 53716-1392 - Phone
- (608) 221-1501
- Fax
- (608) 223-3540
- NPI assigned
- Jun 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 3165-024 | WI | Primary |
Addresses
Primary practice location
4901 Cottage Grove Rd
Madison, WI 53716-1392
Mailing address
4901 Cottage Grove Rd
Madison, WI 53716-1392
Phone (608) 221-1501
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dfrisque263630@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https//fhir.ssmhc.com/fhir/api/FHIR/DSTU2 | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070124000092 | WI | Practitioner - Physical Therapist in Private Practice | 0749281459 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wildwood Family Clinic SC
Practice addresses (Care Compare)
4901 Cottage Grove Rd
Madison, WI 53716-1392
Phone (608) 221-1501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3165-024 | WI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildwood Family Clinic SC | Current | Accepting new patients | |
| Wildwood Family Clinic, SC | Current | Accepting new patients |
Locations
251 E Cottage Grove Rd
Cottage Grove, WI 53527
Phone (608) 839-3515
4901 Cottage Grove Rd
Madison, WI 53716
Phone (608) 221-1501
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Madison, WI
- NPI 1851300784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1710922166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 COTTAGE GROVE RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537161392",
"telephone_number": "608-221-1501",
"fax_number": "608-223-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 COTTAGE GROVE RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537161392",
"telephone_number": "608-221-1501",
"fax_number": "608-223-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRISQUE",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "3165-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfrisque263630@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dfrisque263630@direct-ehr-ssmhc.com",
"address_1": "4901 Cottage Grove Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537161392",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https//fhir.ssmhc.com/fhir/api/FHIR/DSTU2",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "4901 Cottage Grove Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537161392",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.