ALLISON M ALLEN D.P.T.
NPI 1659691061
Physical Therapist in Sheboygan, WI

Active since June 08, 2010Accepts Medicare Assignment
94.61/100
CMS Quality Rating
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081(920) 458-8707(920) 452-6107 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Allison M Allen D.p.t. NPPES

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

ALLISON M ALLEN D.P.T. (NPI 1659691061) is an individual physical therapist in Sheboygan, Wisconsin, licensed in Wisconsin (11453-24) and active in the NPI registry since June 2010. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1659691061
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameALLISON M ALLENCredential: D.P.T.
Location Address2920 SUPERIOR AVESheboygan, WI 53081-1944
Mailing Address2920 Superior AveSheboygan, WI 53081-1944 · (920) 458-8707 · Fax (920) 452-6107
Fax(920) 452-6107
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 8, 2010
Last NPPES UpdateNovember 18, 2010
✔ NPI 1659691061 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 · 11453-24
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.
2920 SUPERIOR AVE, Sheboygan, WI 53081

Other Identifiers 2

Medicaid1659691061WI
Medicare PIN1659691061WI

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

Allison M Allen D.p.t. 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 ID5698960904
PECOS Enrollment IDI20101112000142

Medicare Billing Reassignments

2

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

Nurse Practitioner
3100 SUPERIOR AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
279 services22 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
257 services22 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
49 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Gerontology)
2920 SUPERIOR AVE
SHEBOYGAN, WI 53081
Specialist/Technologist, Other (Surgical Assistant)
2920 SUPERIOR AVE
SHEBOYGAN, WI 53081
Physical Therapist
2920 SUPERIOR AVE
SHEBOYGAN, WI 53081
Surgery
2920 SUPERIOR AVE
SHEBOYGAN, WI 53081
Nurse Practitioner (Adult Health)
2920 SUPERIOR AVE
SHEBOYGAN, WI 53081
Nurse Practitioner (Adult Health)
2920 SUPERIOR AVE
SHEBOYGAN, WI 53081
Physician Assistant (Surgical)
2920 SUPERIOR AVE
SHEBOYGAN, WI 53081
Pediatrics
2920 SUPERIOR AVE
SHEBOYGAN, WI 53081

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 Allison Allen's NPI number?

The NPI number for Allison Allen is 1659691061. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Allison Allen located?

Allison Allen practices at 2920 Superior Ave, Sheboygan, WI 53081. The listed phone number is (920) 458-8707.

What is Allison Allen's specialty?

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

Is Allison Allen enrolled in Medicare?

Yes. Allison Allen 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 Allison Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allison Allen reassigns Medicare benefits to 2 organizations: St Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI) and St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, 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 Allison Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allison Allen accept?

Health plans from Anthem Blue Cross and Blue Shield list Allison Allen 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 Allison Allen was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.