ANTHONY M GLOUDEMANS PT
NPI 1518366756
Physical Therapist in Green Bay, WI

Active since August 13, 2014Accepts Medicare Assignment
1630 COMMANCHE AVE, GREEN BAY, WI 54313(920) 430-4560(920) 460-4558 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 11, 2022, Jun 26, 2018, Feb 22, 2018 (3 updates tracked since 2018).

About Anthony M Gloudemans Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY M GLOUDEMANS PT (NPI 1518366756) is an individual physical therapist in Green Bay, Wisconsin, licensed in Wisconsin (12721) and active in the NPI registry since August 2014. He maintains 2 additional practice locations and is a graduate of Other (2014).

NPPES Registry Identity

NPI1518366756
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameANTHONY M GLOUDEMANSCredential: PT
Location Address1630 COMMANCHE AVEGreen Bay, WI 54313-5753
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Fax(920) 460-4558
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 13, 2014
Last NPPES UpdateMarch 11, 20223 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
✔ NPI 1518366756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 12721
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1630 COMMANCHE AVE, Green Bay, WI 54313

Secondary Practice Locations 2

Location 12820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225 · Fax (715) 735-5388
Location 2323 S 18th AveSturgeon Bay, WI 54235 · Phone (920) 746-3501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony M Gloudemans Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305107459
PECOS Enrollment IDI20180306001257

Medicare Billing Reassignments

2

Medicare enrollment records show Anthony Gloudemans reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1630 COMMANCHE AVE STE 102
Green Bay, WI 54313
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
Rural Health
107 E HIGHLAND DR
Oconto Falls, WI 54154
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54313 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Pharmacist (Ambulatory Care)
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Pharmacist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Preventive Medicine (Occupational Medicine)
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Physical Therapist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Physical Therapist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Physical Therapist
1630 COMMANCHE AVE
GREEN BAY, WI 54313
Physician Assistant
1630 COMMANCHE AVE
GREEN BAY, WI 54313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Gloudemans's NPI number?

The NPI number for Anthony Gloudemans is 1518366756. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Where is Anthony Gloudemans located?

Anthony Gloudemans practices at 1630 Commanche Ave, Green Bay, WI 54313. The listed phone number is (920) 430-4560.

What is Anthony Gloudemans's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Anthony Gloudemans enrolled in Medicare?

Yes. Anthony Gloudemans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Anthony Gloudemans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Gloudemans reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc (Green Bay, WI) and Oconto Hospital & Medical Center, Inc. (Oconto Falls, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Gloudemans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Gloudemans accept?

Health plans from CareSource (Common Ground Healthcare) list Anthony Gloudemans as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Gloudemans was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.