Kimberly Ann Backe, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4735024 Issued in WI

Practice address

7001 S Howell Ave
800
Oak Creek, WI 53154-1407

Phone

(414) 856-0303

Fax

(414) 856-9991

NPI assigned

Oct 3, 2006

Last updated

Apr 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly Ann Siegel Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bonita Springs Sports and Physical Therapy Center IncGroup PAC ID 6608760442, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bonita Springs Sports & Physical Therapy Center Inc

  • Physical Therapist
  • Bonita Springs, FL
  • NPI 1104893361
  Medicare reassignment Care Compare group NPD
• Zenergy Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Fort Myers, FL
  • NPI 1326352550
  NPD
• Affiliated Health of Wisconsin LTD.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wauwatosa, WI
  • NPI 1063433977

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1073607834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 S HOWELL AVE",
            "address_2": "800",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541407",
            "telephone_number": "414-856-0303",
            "fax_number": "414-856-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 S HOWELL AVE",
            "address_2": "800",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541407",
            "telephone_number": "414-856-0303",
            "fax_number": "414-856-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4735024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40385200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SIEGEL",
            "middle_name": "ANN",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aspen Orthopedic and Rehabilation Specalist
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• Aurora Pharmacy Inc (Aurora Pharmacy)
• Aurora Pharmacy Inc (Aurora Pharmacy 1760)
• Aurora Pharmacy Inc (Aurora Pharmacy)
• Alyssa Bacon, LCSW
• Badger MWC LLC
• Jessica Nichole Bahr, PA-C
• Amanda Ellen Banach, MS, CCC-SLP
• Brianna Banks, LPC

• Physical Therapist in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.