Stephanie Renne Annen, DPT, C/NDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11690-024 Issued in WI

Practice address

1486 W Mequon Rd
Mequon, WI 53092-3268

Phone

(262) 247-8030

Fax

(262) 241-8304

NPI assigned

May 25, 2011

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Female

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aurora Advanced Healthcare, Inc.

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1265629133
  Medicare reassignment NPD
• Aurora Advanced Healthcare Inc

  • Durable Medical Equipment & Medical Supplies
  • Summit, WI
  • NPI 1477186633
  NPD
• Greenfield Rehabilitation Agency, Inc.

  dba Rehab Resources

  • Physical Therapist
  • Brookfield, WI
  • NPI 1790230571
  NPD (past)
• Rehab Resources Inc

  • Pediatric Physical Therapist
  • Beaver Dam, WI
  • NPI 1437129566
  NPD (past)

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1891088647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 W MEQUON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923268",
            "telephone_number": "262-247-8030",
            "fax_number": "262-241-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 W MEQUON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923268",
            "telephone_number": "262-247-8030",
            "fax_number": "262-241-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNEN",
        "first_name": "STEPHANIE",
        "middle_name": "RENNE",
        "credential": "DPT, C/NDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11690-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100078897",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sannen200493@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1486 W Mequon Rd",
            "city": "Mequon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530923268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1486 W Mequon Rd",
            "city": "Mequon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530923268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jack Anderson
• Andrea P Janis-Towey Psychological Services LLC
• Katie Andrew, P.T.
• Jolene E. Andryk, M.D.
• Angelier Counseling, LLC
• Scott Arbit, DMD MS
• Arc Angels Senior Home Care of SE Wi, LLC
• Arrow Oral Surgery, S.C.
• Andrea N Artz, M.S., PT
• Ann Marie Arvoy, M.A., LPC

• Physical Therapist in Mequon, WI
• Providers in Mequon, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.