Annette Christopherson
Individual provider Active NPI Physical Therapist · Juneau, WI
NPI 1871506709 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871506709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3449-24 (WI)
- Practice address
- 199 Home Rd
Juneau, WI 53039-1401 - Phone
- (920) 386-3537
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
199 County DF
Juneau, WI 53039-9512
Phone (920) 245-5116
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101021001180 | WI | Practitioner - Physical Therapist in Private Practice | 3779776703 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3449-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current |
Accepting new patients |
| Achieve Solutions, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
106 S Holmen Dr
Ste 2
Holmen, WI 54636
Phone (608) 526-6888
199 Cty Df
Juneau, WI 53039
Phone (262) 735-8005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3449-24 | WI | Yes |
Addresses
Primary practice location
199 Home Rd
Juneau, WI 53039-1401
Mailing address
W2393 Heather St
Oconomowoc, WI 53066-9578
Phone (920) 474-4458
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40201200 | Medicaid | WI |
Other providers in Juneau, WI
- Mark E Bunkoske
- Amanda Bussan
- Lindsey Ann Buswell-Cleary
- Janet L Carlson
- Kimberly Caul
- City of Juneau Emergency Medical Services
- Sara Cook
- Jenny Cottrill
- County of Dodge
- County of Dodge
All providers in Juneau, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.