Prime Training, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRIME TRAINING, LLC

Doing business as

Prime Physical Therapy

Practice address

1261 Elsie St
Fort Atkinson, WI 53538-1514

Phone

(608) 201-0641

Fax

(262) 458-2999

NPI assigned

Feb 3, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kurt Chapman, DPTNPI 1104852268

Title

Owner

Phone

(608) 201-0641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prime Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Kurt K Chapman, PT DPT CSCS

  • Physical Therapist
  • Fort Atkinson, WI
  • NPI 1104852268
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1750846895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 ELSIE ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381514",
            "telephone_number": "608-201-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 ELSIE ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381514",
            "telephone_number": "608-201-0641",
            "fax_number": "262-458-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 S Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Whitewater",
            "state": "WI",
            "postal_code": "531901635",
            "country_code": "US",
            "telephone_number": "608-201-0641",
            "fax_number": "262-458-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIME TRAINING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-03",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-201-0641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40383700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Podoll Dental, LLC (Fort Family Dental)
• Sara Podoll, DDS
• Bonnie L Poppy, APNP
• Anne Prickette
• Tyler Joseph Prickette, PHARMD
• Andrew Lien Punsel, MPT
• Margaret Punsel
• Purity Dialysis Centers, Inc (Fort Atkinson Dialysis Center)
• Courtney M Quast, LPC, SAC
• Peter H Rahn, PT

• Physical Therapy Clinic/Center in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.