Alisha R Anschutz, D-PT
Individual provider Active NPI Physical Therapist · Green Bay, WI
NPI 1962197863 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1962197863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 14186-24 (WI)
- Practice address
- 704 S Webster Ave Ste 201
Green Bay, WI 54301-3528 - Phone
- (920) 433-3410
- Fax
- (920) 433-3419
- NPI assigned
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Wisconsin School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
704 S Webster Ave
Green Bay, WI 54301-3533
Phone (920) 468-3444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230502000945 | WI | Practitioner - Physical Therapist in Private Practice | 2466817119 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14186-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center Inc | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Physical Therapist | Current |
Accepting new patients |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784
704 S Webster Ave
Ste 201
Green Bay, WI 54301
Phone (920) 433-3410
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14186-24 | WI | Yes |
Addresses
Primary practice location
704 S Webster Ave Ste 201
Green Bay, WI 54301-3528
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other names
- Alisha R Maciejewski
Other providers in Green Bay, WI
- Lindsey Angst
- Chris Edwin Anibal
- Anima Family Counseling, LLC
- William Yaw Cedric Ansa Otu
- Matthew Michael Ansay
- Anso Residential Homes LLC
- Jeffery P Antonissen
- Sara Louise Aplin
- Apogee Medical Group, Green Bay, S.C.
- Apogee Medical Group, Wisconsin, S.C
All providers in Green Bay, 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 Apr 6, 2023. 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.