Todd B Nierman, PT, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4757-024 Issued in WI

Practice address

5973 Executive Dr
Suite #3
Fitchburg, WI 53719-5303

Phone

(608) 663-1090

Fax

(608) 663-1097

NPI assigned

Dec 5, 2006

Last updated

Jul 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Promotion Fitness & Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Fitchburg, WI
  • NPI 1083814404

  Orthopedic

  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1871651661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5973 EXECUTIVE DR",
            "address_2": "SUITE #3",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195303",
            "telephone_number": "608-663-1090",
            "fax_number": "608-663-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5973 EXECUTIVE DR",
            "address_2": "SUITE #3",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195303",
            "telephone_number": "608-663-1090",
            "fax_number": "608-663-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERMAN",
        "first_name": "TODD",
        "middle_name": "B",
        "credential": "PT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "4757-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36113000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Beginnings Counseling Center, LLC
• John Patrick Newlon, OTR
• Nicole Nichols
• Nicole Plata
• Nicole Plata
• Nissenbaum and Schleusner Pro Physical Therapy LLC (PRO Physical Therapy - Fitchburg)
• Gina M Nolan, SLP
• Northern Roots Therapy Center
• Hanna Marie Noyce, MS, OTR
• Daniel R O'Brien, DDS

• Orthopedic Physical Therapist in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Orthopedic Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.