Morgan Detienne, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17073-24 Issued in WI

Practice address

6649 University Ave Ste 100
Middleton, WI 53562-3021

Phone

(608) 841-1290

Fax

(608) 841-1299

NPI assigned

Feb 12, 2025

Last updated

Feb 12, 2025By 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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nissenbaum and Schleusner Pro Physical Therapy LLCGroup PAC ID 2668753070, 14 clinicians

Practice addresses (Care Compare)

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.

• Nissenbaum and Schleusner Pro Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Cross Plains, WI
  • NPI 1821542853

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Nissenbaum and Schleusner Pro Physical Therapy LLC

  dba PRO Physical Therapy - Sun Prairie

  • Physical Therapist
  • Sun Prairie, WI
  • NPI 1316767213
  NPD
• Nissenbaum and Schleusner Pro Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Middleton, WI
  • NPI 1679353833
  NPD
• Nissenbaum and Schleusner Pro Physical Therapy LLC

  dba PRO Physical Therapy - Middleton

  • Physical Therapy Clinic/Center
  • Middleton, WI
  • NPI 1558861302

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1962217265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6649 UNIVERSITY AVE STE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623021",
            "telephone_number": "608-841-1290",
            "fax_number": "608-841-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 UNIVERSITY AVE STE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623021",
            "telephone_number": "608-841-1290",
            "fax_number": "608-841-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETIENNE",
        "first_name": "MORGAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17073-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiley Dehaven, PA-C
• Mackenzie Laurel Deleo-Schuster, M.S., CCC-SLP
• Julia M Dellaria-Terrill, OD
• Barbara Rebekah Demares, PMHNP-BC
• Atit R. Desai, M.D.
• Diaspora Radiology, SC (Smart Scan Medical Imaging Madison)
• Danielle Dietz, PHARMD
• Bronwyn L Dilley, APNP
• Alan R Dimond, MD
• Katherine S. Dobson, MS, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.