Active NPI
Brendan Harden
- Physical Therapy Assistant
- Wausau, WI
National Provider Identifier
1598609364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- CP055173A
- Practice address
- 3107 Westhill Dr
Wausau, WI 54401-3733 - Phone
- (715) 842-0575
- NPI assigned
- Apr 14, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | CP055173A | WI | Primary |
Addresses
Primary practice location
3107 Westhill Dr
Wausau, WI 54401-3733
Mailing address
209 N 2ND St
Independence, KS 67301-3111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP055173A | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1598609364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 N 2ND ST",
"city": "INDEPENDENCE",
"state": "KS",
"postal_code": "673013111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 WESTHILL DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544013733",
"telephone_number": "715-842-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEN",
"first_name": "BRENDAN",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-04-14",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "CP055173A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.