Individual provider Active NPI

Anna Nelsen, DPT

  • Physical Therapist
  • Munster, IN
National Provider Identifier
1962412171
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05011983A Issued in IN
Practice address
9200 Calumet Ave Ste 300
Munster, IN 46321-2885
Phone
(877) 632-6637
Fax
(708) 409-5179
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070027601 IL
Physical Therapist 225100000X 05011983A IN Primary

Addresses

Primary practice location

9200 Calumet Ave Ste 300
Munster, IN 46321-2885

Mailing address

9200 Calumet Ave Ste 300
Munster, IN 46321-2885
Phone (877) 632-6637

Other identifiers 1

IdentifierTypeStateIssuer
05011983AOtherINLICENSE

Other names 1

  • Anna Marie Chmeilewski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171003007266 IN Practitioner - Physical Therapist in Private Practice 0840299061 Reassigns benefits to 4 organizations
I20231016002963 IL Practitioner - Physical Therapist in Private Practice 0840299061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Drexel University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

1611 W Harrison St
Suite 107
Chicago, IL 60612-4861
Phone (877) 632-6637

9200 Calumet Ave
Suite 300
Munster, IN 46321-2885
Phone (877) 632-6637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 14, 2016 Accepting new patients
Orthomidwest, PLLC Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 14, 2016 Accepting new patients
Midwest Orthopaedics at Rush LLC CurrentSince Sep 26, 2022 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Feb 22, 2022 Accepting new patients
Orthomidwest, PLLC CurrentSince Sep 26, 2022 Accepting new patients
Midwest Orthopaedics at Rush, LLC CurrentSince Sep 26, 2022 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Feb 22, 2022 Accepting new patients
Fitness Quest - Venice LLC Physical Therapist PastSince Jul 24, 2022 Accepting new patients
Fitness Quest - Punta Gorda LLC Physical Therapist PastSince Jul 24, 2022 Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

1000 Commerce Ct
Ste 101
Bensenville, IL 60106
Phone (312) 432-2591

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1611 W Harrison St
Ste 107
Chicago, IL 60612
Phone (312) 432-2513

1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154

1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782

1407 S Lake Park Ave
#A
Hobart, IN 46342
Phone (219) 947-3637

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

9601 Calumet Ave
Munster, IN 46321
Phone (312) 432-2591

9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955

9200 Calumet Ave
Ste 100
Munster, IN 46321
Phone (219) 595-0789

9200 Calumet Ave
Ste E-100
Munster, IN 46321
Phone (219) 682-4051

9200 Calumet Ave
Ste 300
Munster, IN 46321
Phone (708) 236-2737

9200 Calumet Ave
#300
Munster, IN 46321

71 Silhavy Rd
Ste 121
Valparaiso, IN 46383
Phone (219) 462-0576

Interoperability endpoints

  • Direct secure messaging: anna.nelsen.1@12576.direct.athenahealth.com

Organizations & group practices 11

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1962412171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE STE 300",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE STE 300",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070027601",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011983A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "05011983A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "CHMEILEWSKI",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.