Individual provider Active NPI

Nicole Hofslien

  • Physical Therapist
  • Fitchburg, WI
National Provider Identifier
1780378679
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16252-24 Issued in WI
Practice address
2995 Sub Zero Pkwy
Fitchburg, WI 53719-8801
Phone
(608) 819-6394
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16252-24 WI Primary

Addresses

Primary practice location

2995 Sub Zero Pkwy
Fitchburg, WI 53719-8801

Mailing address

2961 Index Rd Apt 304
Fitchburg, WI 53713-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16252-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Innovations, LLC CurrentSince Jun 1, 2023 Accepting new patients
Communication Innovations, Inc PastSince Mar 5, 2023 Accepting new patients

Locations

2995 Sub Zero Pkwy
Fitchburg, WI 53719
Phone (608) 556-2433

2927 S Fish Hatchery Rd
Fitchburg, WI 53711
Phone (608) 816-6394

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.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1780378679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 INDEX RD APT 304",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 SUB ZERO PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537198801",
            "telephone_number": "608-819-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFSLIEN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16252-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.