Nicole J. Budzien, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12392-24 Issued in WI

Practice address

S74W17045 Janesville Rd
Muskego, WI 53150-9701

Phone

(414) 422-4678

NPI assigned

Aug 12, 2013

Last updated

Feb 15, 2019By 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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Marquette University School of Dentistry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, 289 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Burlington

  • Rehabilitation Clinic/Center
  • Burlington, WI
  • NPI 1881773463
  Medicare reassignment Care Compare group NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Pleasant Prairie

  • Rehabilitation Clinic/Center
  • Pleasant Prairie, WI
  • NPI 1104497015
  NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Hayward

  • Rehabilitation Clinic/Center
  • Hayward, WI
  • NPI 1902556012
  NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Paddock Lake

  • Rehabilitation Clinic/Center
  • Salem, WI
  • NPI 1104497023
  NPD (past)
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Cudahy

  • Rehabilitation Clinic/Center
  • Cudahy, WI
  • NPI 1194396002
  NPD (past)
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Racine

  • Rehabilitation Clinic/Center
  • Mount Pleasant, WI
  • NPI 1821669748
  NPD (past)
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Muskego

  • Rehabilitation Clinic/Center
  • Muskego, WI
  • NPI 1881367464
  NPD (past)
• Advantage PT & Sports Rehab LLC

  dba CORA Physical Therapy - Franklin

  • Rehabilitation Clinic/Center
  • Franklin, WI
  • NPI 1164183018
  NPD (past)
• Comprehensive Orthopaedics SC

  dba Comprehensive Orthopaedics Advanced Imaging and Rehab Center

  • Physical Therapy Clinic/Center
  • Kenosha, WI
  • NPI 1194611939

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1265865422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 52ND ST",
            "address_2": "STE 240",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403423",
            "telephone_number": "262-925-5000",
            "fax_number": "262-925-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S74W17045 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509701",
            "telephone_number": "414-422-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 57th Ave",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531444924",
            "country_code": "US",
            "telephone_number": "262-925-5250",
            "fax_number": "262-925-5251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12555 W National Ave",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531514061",
            "country_code": "US",
            "telephone_number": "414-422-4678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDZIEN",
        "first_name": "NICOLE",
        "middle_name": "J.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12392-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12597647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braincare, LLC (Global Neuro-Diagnostics)
• Savita Suryawanshi Brenner, DDS
• Debra Jean Brooks, LPN
• Eric J. Bruster, PSY.D.
• Bubon & Associates, Orthodontics, SC
• Shelley Carpenter, PT
• Sandra Ann Ceranski, O.T.R.
• Robert Leo Chambers, DDS
• Changing Point LLC
• James M. Chapman, M.D.

• Physical Therapist in Muskego, WI
• Providers in Muskego, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.