Healthcare Provider Details

I. General information

NPI: 1497667208
Provider Name (Legal Business Name): NISSENBAUM AND SCHLEUSNER PRO PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4845 TRADEWINDS PKWY
MADISON WI
53718
US

IV. Provider business mailing address

4845 TRADEWINDS PKWY
MADISON WI
53718
US

V. Phone/Fax

Practice location:
  • Phone: 608-841-1290
  • Fax: 608-841-1299
Mailing address:
  • Phone: 608-841-1290
  • Fax: 608-841-1299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANGELA WEBB-BUFFINGTON
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 608-621-7032