Individual provider Active NPI

Brandon H Karstens, DPT

  • Physical Therapist
  • Spooner, WI
National Provider Identifier
1508681669
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16806-24 Issued in WI
Practice address
314 Service Rd
Spooner, WI 54801-6200
Phone
(715) 635-2518
Fax
(715) 635-2672
NPI assigned
Nov 22, 2024
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16806-24 WI Primary

Addresses

Primary practice location

314 Service Rd
Spooner, WI 54801-6200

Mailing address

314 Service Rd
Spooner, WI 54801-6200
Phone (715) 635-2518

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spooner Physical Therapy and Wellness IncGroup PAC ID 0840558581, 3 clinicians

Practice addresses (Care Compare)

314 Service Rd
Spooner, WI 54801-6200
Phone (715) 635-2518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16806-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy & Wellness Inc Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Rice Lake Physical Therapy and Rehab Specialists Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients

Locations

314 Service Rd
Spooner, WI 54801
Phone (715) 635-2518

Organizations & group practices 2

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": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1508681669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 SERVICE RD",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548016200",
            "telephone_number": "715-635-2518",
            "fax_number": "715-635-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SERVICE RD",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548016200",
            "telephone_number": "715-635-2518",
            "fax_number": "715-635-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARSTENS",
        "first_name": "BRANDON",
        "middle_name": "H",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16806-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spooner, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.