Becki Jo Braund, PT
Individual provider Active NPI Physical Therapist · Prairie Du Sac, WI
NPI 1164573101 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164573101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6125-024 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
840 State Rd
136 Suite 3
Baraboo, WI 53913-9252
Phone (608) 356-2334
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220309000154 | WI | Practitioner - Physical Therapist in Private Practice | 4587058565 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6125-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Physical Therapy & Sports Medicine, Inc. | Physical Therapist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6125-024 | WI | Yes |
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
Other providers in Prairie Du Sac, WI
- Shana Becker-Lindow
- Nicole Carin Been
- Laura Elizabeth Bixby
- Samantha Jo Boll
- Kelsey M Brady
- Brigitta M D Brickl
- Diane L Buckley
- Mackenzie Lynn Bugg
- Emily M Campbell
- Sandra Carroll
All providers in Prairie Du Sac, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.