Dipti Bhale

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12236-24 Issued in WI

Practice address

465 W Leather Ave Apt 5
Tomahawk, WI 54487-2270

Phone

(405) 714-0919

NPI assigned

Mar 9, 2015

Sex

Female

Sole proprietor

Yes

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 IL

Enrollment records 1

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 and National Provider Directory roles.

• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  • Physical Therapist
  • Clinton, IL
  • NPI 1376917187
  Medicare reassignment NPD
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1215637699
  NPD

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1457744930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 S MAIN ST",
            "address_2": "APT A",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605545031",
            "telephone_number": "630-466-5866",
            "fax_number": "630-466-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W LEATHER AVE APT 5",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544872270",
            "telephone_number": "405-714-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALE",
        "first_name": "DIPTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12236-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
• Jessica A Baus, OTR
• Elizabeth Ann Behling, PTA
• Beau Below
• James F Bitner, CSAC, ICS II
• Bowman Chiropractic S.C.
• Emily Ann Bowman, DC
• Emily Brueggemann
• David C Callaway, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.