Individual provider Active NPI

Anne Elizabeth Spadaro, PT

  • Physical Therapist
  • Menomonee Falls, WI
National Provider Identifier
1861622284
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11286 Issued in WI
Practice address
W143N5009 Brook Falls Dr
Menomonee Falls, WI 53051-6987
Phone
(414) 305-0489
Fax
(262) 781-3080
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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 11286 WI Primary

Addresses

Primary practice location

W143N5009 Brook Falls Dr
Menomonee Falls, WI 53051-6987

Mailing address

W143N5009 Brook Falls Dr
Menomonee Falls, WI 53051-6987
Phone (414) 305-0489

Other identifiers 1

IdentifierTypeStateIssuer
11286OtherWILICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221005002112 IA Practitioner - Physical Therapist in Private Practice 3779619622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nebraska College of Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1121 Deer Run Dr NE
Cedar Rapids, IA 52402-7366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab PT Ia PLLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Element Therapy Solutions Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Lessila Physical Therapy, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1861622284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W143N5009 BROOK FALLS DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516987",
            "telephone_number": "414-305-0489",
            "fax_number": "262-781-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W143N5009 BROOK FALLS DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516987",
            "telephone_number": "414-305-0489",
            "fax_number": "262-781-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADARO",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "11286",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.