Rita T Bagga, PT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

11185-024 Issued in WI

Practice address

9206 Waterside St
Apartment # 213
Middleton, WI 53562-5090

Phone

(608) 721-0000

NPI assigned

May 11, 2010

Last updated

May 11, 2010By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1538487889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9206 WATERSIDE ST",
            "address_2": "APT # 213",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625090",
            "telephone_number": "608-721-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9206 WATERSIDE ST",
            "address_2": "APARTMENT # 213",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625090",
            "telephone_number": "608-721-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGA",
        "first_name": "RITA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WI",
            "license": "11185-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY MA LICENSE",
            "identifier": "15921",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY  LICENSE",
            "identifier": "11185-024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Awakened Vitality, LLC
• Oksana O Babchenko, M.D.
• Andrew J Bachhuber, P.T.
• Badger Mobility Transport LLC
• Gwen Badger
• Alexia Grace Bales, CCC-SLP
• Amy E Banasik, SLP
• Brad E Baranowski, M.S.
• Sharon A. Barger, PH.D., LCSW LPC SAC
• Christine Barney, CRNA

• Community Health Worker in Middleton, WI
• Providers in Middleton, WI by specialty
• Community Health Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.