Andrea Donaldson, PT, CSCS
Physical Therapist in Summit, WI. Individual provider (NPI-1).
NPI number1144779398
StatusActive
Last updated in NPPESSep 29, 2016
Details
- NPI
- 1144779398
- Entity type
- Individual (NPI-1)
- Name
- Andrea Donaldson
- Credential
- PT, CSCS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2016
- Last updated
- Sep 29, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
36500 Aurora DrSummit, WI 53066-4899
Phone 262-434-2600
Mailing address
36500 Aurora DrSummit, WI 53066-4899
Phone 262-434-2600
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Physical Therapist providers in Summit · All 266 providers in Summit
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