Katelyn M Basden, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16477 Issued in WI

Practice address

315 Burton Rd Ste 107
New London, WI 54961-1176

Phone

(920) 982-3670

NPI assigned

Jan 18, 2024

Last updated

Jan 18, 2024By 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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Spine Therapy of Clintonville, SCGroup PAC ID 3072405505, 5 clinicians

Orthopedic and Spine Therapy of New London SCGroup PAC ID 6901869411, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthopedic & Spine Therapy of Clintonville, SC

  • Physical Therapist
  • Clintonville, WI
  • NPI 1528172988
  Medicare reassignment Care Compare group NPD
• Orthopedic & Spine Therapy of New London, SC

  • Physical Therapy Clinic/Center
  • New London, WI
  • NPI 1437187135

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orthopedic & Spine Therapy of Clintonville, SC

  • Physical Therapist
  • Shawano, WI
  • NPI 1821105354
  NPD
• Orthopedic & Spine Therapy of New London, SC

  • Physical Therapy Clinic/Center
  • Hortonville, WI
  • NPI 1164080388

  Physical Therapist

  NPD

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1326809146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MIDWAY RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BURTON RD STE 107",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549611176",
            "telephone_number": "920-982-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASDEN",
        "first_name": "KATELYN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ascension Medical Group-Fox Valley Wisconsin, Inc (Ascension Medical Group)
• Ascension Medical Group-Fox Valley Wisconsin, Inc (Ascension Medical Group)
• Becky Aus, FNP-C
• Jamie Ayres, RN, BSN
• Julia Christine Azure, PT, DPT
• Emily Becher
• Jared Scott Bedor, D.C.
• Jack R Behm, C.R.N.A.
• Lisa Behnke, MA
• Alaina Janae Beimborn, APNP

• Physical Therapist in New London, WI
• Providers in New London, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.