MEDICARE: ANNE SUGRUE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	17149-24	WI
2	2251N0400X	Neurology Physical Therapist		WI

General Provider Information

NPI Number	:	1831084151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE SUGRUE PT, DPT

Provider Business Mailing Address
First Line	:	604 N 16TH ST RM 215
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-2117
Country	:	US
Telephone Number	:	414-288-1400
Fax Number	:	414-288-6079

Provider Business Practice Location Address
First Line	:	604 N 16TH ST RM 104
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-2117
Country	:	US
Telephone Number	:	414-288-1400
Fax Number	:	414-288-6079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	02/23/2026

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Directions to “ ANNE SUGRUE PT, DPT” Practice Location

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