Active NPI
Anna Ruth Perkinson, PT
- Physical Therapist
- Madison, WI
National Provider Identifier
1811187461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11045026
- Practice address
- 600 Highland Ave
Compliance MC 2433
Madison, WI 53792-0001 - Phone
- (608) 662-0817
- NPI assigned
- Jul 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2371 (TEMP LICENSE) | MN | |
| Physical Therapist | 225100000X | 11045026 | WI | Primary |
Addresses
Primary practice location
600 Highland Ave
Compliance MC 2433
Madison, WI 53792-0001
Mailing address
600 Highland Ave
Compliance MC 2433
Madison, WI 53792-0001
Phone (608) 662-0817
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11045026 | Other | WI | PHYSICAL THERAPIST |
| 834K4WY | Other | MN | BCBS OF MN |
Other names 1
- Anna R Wykstra
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2371 (TEMP LICENSE) | MN | MD | Physical Therapist |
| 11045026 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1811187461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE",
"address_2": "COMPLIANCE MC 2433",
"city": "MADISON",
"state": "WI",
"postal_code": "537920001",
"telephone_number": "608-662-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE",
"address_2": "COMPLIANCE MC 2433",
"city": "MADISON",
"state": "WI",
"postal_code": "537920001",
"telephone_number": "608-662-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINSON",
"first_name": "ANNA",
"middle_name": "RUTH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "2371 (TEMP LICENSE)",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11045026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "11045026",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "834K4WY",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "WYKSTRA",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.