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

David Michael Nissenbaum, MPTMALAT

Individual provider Athletic Trainer · NPI 1376502773

David Michael Nissenbaum, MPTMALAT is a Physical Therapist in Private Practice in Cross Plains, Wisconsin. Qualified in 1999, 27 years ago. Practices with Nissenbaum and Schleusner Pro Physical Therapy LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
27
Licensed in
WI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1118 Main St Ste A
Cross Plains, WI 53528-9477
Phone: (608) 413-0550
Fax: (608) 413-0552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6391024 (WI)
Athletic Trainer Taxonomy 2255A2300X · Licence 209039 (WI)

Record details

NPI number1376502773
Entity typeIndividual (Type 1)
GenderMale
Credentials MPTMALAT
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Nissenbaum And Schleusner Pro Physical Therapy Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount