Individual provider Active NPI

Alysha Claflin, DPT

  • Physical Therapist
  • Kewaskum, WI
National Provider Identifier
1821942772
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17616-24 Issued in WI
Practice address
1057 Fond Du Lac Ave
Kewaskum, WI 53040-9495
Phone
(920) 922-7776
NPI assigned
Feb 25, 2026
Reactivated
Sep 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 17616-24 WI Primary

Addresses

Primary practice location

1057 Fond Du Lac Ave
Kewaskum, WI 53040-9495

Mailing address

931 Peace Lutheran Dr
Hartford, WI 53027-1131
Phone (920) 922-7776

Other practice location 1

103 S Pioneer Rd
Fond Du Lac, WI 54935-3800
Phone (920) 922-7776

Other practice location 2

N 8218 Wi-28
Mayville, WI 53050
Phone (920) 922-7776

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
17616-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Rehabilitation, S.C. Physical Therapist Past Accepting new patients
Back in Action Rehabilitation S.C. Physical Therapist Past Accepting new patients

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": "1771977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1821942772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 PEACE LUTHERAN DR",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530271131",
            "telephone_number": "920-922-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 FOND DU LAC AVE",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "530409495",
            "telephone_number": "920-922-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 S Pioneer Rd",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549353800",
            "country_code": "US",
            "telephone_number": "920-922-7776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N 8218 WI-28",
            "address_purpose": "LOCATION",
            "city": "Mayville",
            "state": "WI",
            "postal_code": "53050",
            "country_code": "US",
            "telephone_number": "920-922-7776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAFLIN",
        "first_name": "ALYSHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-09-01",
        "certification_date": "2026-02-21",
        "deactivation_date": "2026-08-24",
        "reactivation_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17616-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kewaskum, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.