Individual provider Active NPI

Becki Jo Braund, PT

  • Physical Therapist
  • Prairie Du Sac, WI
National Provider Identifier
1164573101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6125-024 Issued in WI
Practice address
80 1St St
Prairie Du Sac, WI 53578-1550
Phone
(608) 643-7263
Fax
(608) 643-7667
NPI assigned
Jan 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6125-024 WI Primary

Addresses

Primary practice location

80 1St St
Prairie Du Sac, WI 53578-1550

Mailing address

904 Lone Tree LN
Prairie Du Sac, WI 53578-1000
Phone (608) 643-2127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220309000154 WI Practitioner - Physical Therapist in Private Practice 4587058565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Wisconsin School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Life Physical Therapy and Sports Medicine IncGroup PAC ID 2567413339, 8 clinicians

Practice addresses (Care Compare)

840 State Rd
136 Suite 3
Baraboo, WI 53913-9252
Phone (608) 356-2334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6125-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Physical Therapy & Sports Medicine, Inc. Physical Therapist CurrentSince Dec 9, 2021 Accepting new patients

Locations

840 State Road 136
Ste 3
Baraboo, WI 53913
Phone (608) 356-2334

2639 New Pinery Rd
Ste 2
Portage, WI 53901
Phone (608) 742-9356

215 N Pioneer Park Rd
Westfield, WI 53964

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164573101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 LONE TREE LN",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781000",
            "telephone_number": "608-643-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 1ST ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781550",
            "telephone_number": "608-643-7263",
            "fax_number": "608-643-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUND",
        "first_name": "BECKI",
        "middle_name": "JO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6125-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Du Sac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.