Individual provider Active NPI

Angela Solberg, DPT

  • Physical Therapist
  • New Berlin, WI
National Provider Identifier
1962803536
Registry record updated May 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15312 W Beloit Rd
New Berlin, WI 53151-7447
Phone
(262) 641-5771
Fax
(262) 641-6317
NPI assigned
Sep 15, 2014
Last updated
May 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2017

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

15312 W Beloit Rd
New Berlin, WI 53151-7447

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names 1

  • Angela Bacci Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160725000778 WI Practitioner - Physical Therapist in Private Practice 2466745740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1170 W Sunset Dr
SPC E120
Waukesha, WI 53189-8422
Phone (262) 832-0205

S74W16845 Janesville Rd
Muskego, WI 53150-8618
Phone (262) 971-4200

Merit-based Incentive Payment System (MIPS)

Final score
83.05 of 100Reported as group
Quality
88.38
Improvement activities
40
Cost
64.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Jul 11, 2016 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Jul 11, 2016 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Current Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

2850 Milwaukee Rd
Ste 400
Beloit, WI 53511
Phone (608) 856-0054

17500 W Bluemound Rd
Ste B
Brookfield, WI 53045
Phone (262) 901-2800

3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727

2050 Morse St
#150
Janesville, WI 53545
Phone (608) 305-1028

7224 118th Ave
Ste E
Kenosha, WI 53142
Phone (262) 857-4400

4861 S 27th St
Milwaukee, WI 53221
Phone (414) 325-3325

5502 Washington Ave
Ste 500
Mount Pleasant, WI 53406
Phone (262) 637-2470

S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200

15312 W Beloit Rd
New Berlin, WI 53151
Phone (262) 641-5771

600 W Drexel Ave
#150
Oak Creek, WI 53154
Phone (414) 563-1045

11450 W Burleigh St
Ste 120
Wauwatosa, WI 53222
Phone (414) 443-9862

6810 W State St
Wauwatosa, WI 53213
Phone (414) 259-0623

10724 W Oklahoma Ave
West Allis, WI 53227
Phone (414) 545-0206

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495152000000",
    "number": "1962803536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15312 W BELOIT RD",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517447",
            "telephone_number": "262-641-5771",
            "fax_number": "262-641-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLBERG",
        "first_name": "ANGELA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2017-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BACCI",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; 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.