Individual provider Active NPI

Christian Dyanne Biegel

  • Physical Therapist
  • Wisconsin Rapids, WI
National Provider Identifier
1164913729
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1302233 Issued in TX
Practice address
491 25TH St N
Wisconsin Rapids, WI 54494-5533
Phone
(715) 213-2134
NPI assigned
May 19, 2018
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 1302233 TX Primary

Addresses

Primary practice location

491 25TH St N
Wisconsin Rapids, WI 54494-5533

Mailing address

3710 72ND St S
Wisconsin Rapids, WI 54494-7646
Phone (715) 213-2134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1302233TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Nov 30, 2021 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Nov 30, 2021 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

491 25th St N
Wisconsin Rapids, WI 54494
Phone (715) 213-2134

Organizations & group practices 3

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": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1164913729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 72ND ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544947646",
            "telephone_number": "715-213-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 25TH ST N",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945533",
            "telephone_number": "715-213-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEGEL",
        "first_name": "CHRISTIAN",
        "middle_name": "DYANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-19",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1302233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.