NPIMap

Organization Active NPI

Nissenbaum and Schleusner Pro Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Cross Plains, WI
National Provider Identifier
1821542853
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC
Practice address
1118 Main St
Cross Plains, WI 53528-9477
Phone
(608) 413-0550
NPI assigned
Aug 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Angela Webb-Buffington
Title
Business Office Manager
Phone
(608) 413-0550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X WI Primary

Addresses

Primary practice location

1118 Main St
Cross Plains, WI 53528-9477

Mailing address

1118 Main St Ste a
Cross Plains, WI 53528-9477
Phone (608) 413-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161223000029 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668753070 Receives reassigned benefits from 15 practitioners
6 other NPIs on this enrollment
Practice locations: Cross Plains, WI; Fitchburg, WI; Madison, WI; Middleton, WI; Sauk City, WI; Sun Prairie, WI

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nissenbaum and Schleusner Pro Physical Therapy LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1821542853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 MAIN ST STE A",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289477",
            "telephone_number": "608-413-0550",
            "fax_number": "608-413-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 MAIN ST",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289477",
            "telephone_number": "608-413-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "WEBB-BUFFINGTON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "608-413-0550"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross Plains, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.