Individual provider Active NPI

Nicole Chladek, DPT

  • Physical Therapist
  • Verona, WI
National Provider Identifier
1942980065
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
416 E Verona Ave
Verona, WI 53593-1227
Phone
(608) 848-6628
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 Primary

Addresses

Primary practice location

416 E Verona Ave
Verona, WI 53593-1227

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120000583 WI Practitioner - Physical Therapist in Private Practice 0345698098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Physicians, LLPGroup PAC ID 7719953306, 25 clinicians

Practice addresses (Care Compare)

4410 Regent St
Madison, WI 53705-4901
Phone (608) 233-9746

Merit-based Incentive Payment System (MIPS)

Final score
86.14 of 100Reported as group
Quality
82.79
Promoting interoperability
90
Improvement activities
40
Cost
79.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians, LLP Physical Therapist CurrentSince Jan 23, 2024 Accepting new patients
Capitol Physical Therapy LLC Physical Therapist CurrentSince Sep 19, 2017 Accepting new patients
Capitol Physical Therapy Specialists LLC Physical Therapist CurrentSince Nov 8, 2023 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

4410 Regent St
Madison, WI 53705
Phone (608) 233-9746

1215 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-0222

1266 W Main St
Sun Prairie, WI 53590
Phone (608) 318-1357

416 E Verona Ave
Verona, WI 53593
Phone (608) 848-6628

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1942980065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931227",
            "telephone_number": "608-848-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHLADEK",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.