Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caleb Michael Van Fossen

Individual provider Physical Therapy Assistant · NPI 1073317517

Caleb Michael Van Fossen is a Physical Therapy Assistant in Madison, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

202 S Park St
Madison, WI 53715-1507
Phone: (608) 417-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1073317517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address202 S Park St, Madison, WI 53715-1507

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