Individual provider Active NPI

Anika Johnson, PT, DPT, NCS

  • Physical Therapist
  • Mount Pleasant, WI
National Provider Identifier
1841030541
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13002-24 Issued in WI
Practice address
13200 Globe Dr Ste 206
Mount Pleasant, WI 53177-1615
Phone
(262) 260-8451
Fax
(262) 995-7360
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.025706 IL
Physical Therapist 225100000X 13002-24 WI Primary

Addresses

Primary practice location

13200 Globe Dr Ste 206
Mount Pleasant, WI 53177-1615

Mailing address

1230 N Sunnyslope Dr Unit 203
Mount Pleasant, WI 53406-6328
Phone (608) 225-8699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723002306 WI Practitioner - Physical Therapist in Private Practice 1153867445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Advantage Rehabilitation, LLCGroup PAC ID 9234524547, 5 clinicians

Practice addresses (Care Compare)

13200 Globe Dr
Suite 206
Mount Pleasant, WI 53177-1615
Phone (262) 260-8451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.025706ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Advantage Rehabilitation, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

13200 Globe Dr
Ste 206
Mount Pleasant, WI 53177
Phone (262) 260-8451

Organizations & group practices 1

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": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1841030541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N SUNNYSLOPE DR UNIT 203",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534066328",
            "telephone_number": "608-225-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 GLOBE DR STE 206",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "531771615",
            "telephone_number": "262-260-8451",
            "fax_number": "262-995-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANIKA",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.025706",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13002-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.