Caitlyn Rae Besch, DPT, PT
Individual provider Active NPI Physical Therapist · Portage, WI
NPI 1285286708 · NPPES record last updated Dec 22, 2021
Key facts
- NPI
- 1285286708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 14591-24 (WI)
- Practice address
- 2815 New Pinery Rd
Portage, WI 53901-9257 - Phone
- (608) 742-4131
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gundersen Clinic LTD
Practice addresses (Care Compare)
1111 W Wisconsin St
Sparta, WI 54656-2233
Phone (608) 269-6731
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220105000186 | WI | Practitioner - Physical Therapist in Private Practice | 0345631172 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14591-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Express Care, Inc | Current |
Accepting new patients | |
| Gundersen Clinic, LTD. | Current |
Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients |
Locations
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1111 W Wisconsin St
Sparta, WI 54656
Phone (608) 263-9531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14591-24 | WI | Yes |
Addresses
Primary practice location
2815 New Pinery Rd
Portage, WI 53901-9257
Mailing address
85A Grand Canyon Dr Apt 201
Baraboo, WI 53913-8744
Phone (262) 470-1825
Other providers in Portage, WI
- Madison Bear
- Beard Chiropractic Family Wellness Clinic, LLC
- Daniel R Beard
- Jessica Lynn Beckett
- Luke Beckman-Sievers
- Maja Beyer
- Bindl Family Chiropractic, LLC
- Dana S Bindl
- Gregory Allan Bindl
- Whitney Bird
All providers in Portage, 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 Dec 22, 2021. 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.