Individual provider Active NPI

Nathan Andrew Mohr, PT

  • Physical Therapist
  • Madison, WI
National Provider Identifier
1881583862
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17368-24 Issued in WI
Practice address
2702 Monroe St Ste a
Madison, WI 53711-1888
Phone
(608) 231-3370
Fax
(608) 231-1547
NPI assigned
Jul 2, 2025
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 17368-24 WI Primary

Addresses

Primary practice location

2702 Monroe St Ste a
Madison, WI 53711-1888

Mailing address

105 Clarmar Dr
Sun Prairie, WI 53590-2675
Phone (608) 318-5929

Other practice location 1

6710 University Ave
Middleton, WI 53562-2764
Phone (608) 820-1300

Other practice location 2

3205 E Washington Ave Ste 1
Madison, WI 53704-4332
Phone (608) 886-9802

Other identifiers 1

IdentifierTypeStateIssuer
100373252MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250806003874 WI Practitioner - Physical Therapist in Private Practice 4284142571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luedtke-Storm-Mackey Chiropractic Clinic, SCGroup PAC ID 6204737240, 33 clinicians

Practice addresses (Care Compare)

6710 University Ave
Middleton, WI 53562-2764
Phone (608) 820-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luedtke-Storm-Mackey Chiropractic Clinic SC Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients

Locations

2702 Monroe St
Ste 2
Madison, WI 53711

2702 Monroe St
Ste A
Madison, WI 53711
Phone (608) 231-3370

3205 E Washington Ave
Madison, WI 53704
Phone (608) 249-7657

3205 E Washington Ave
#1
Madison, WI 53704
Phone (608) 886-9802

6710 University Ave
Middleton, WI 53562
Phone (608) 820-1300

105 Clarmar Dr
Sun Prairie, WI 53590
Phone (608) 316-6972

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1881583862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CLARMAR DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902675",
            "telephone_number": "608-318-5929",
            "fax_number": "608-318-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 MONROE ST STE A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111888",
            "telephone_number": "608-231-3370",
            "fax_number": "608-231-1547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6710 University Ave",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "WI",
            "postal_code": "535622764",
            "country_code": "US",
            "telephone_number": "608-820-1300",
            "fax_number": "608-836-9672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3205 E Washington Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537044332",
            "country_code": "US",
            "telephone_number": "608-886-9802",
            "fax_number": "608-249-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHR",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-02",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17368-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100373252",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.