Andrew J Bachhuber, P.T.

Key facts

NPI

1629136510

Entity type

Individual (NPI type 1)

Primary specialty

Orthopedic Physical Therapist 2251X0800X

License

3084-024 (WI)

Practice address

2521 Allen Blvd
Middleton, WI 53562-2211

Phone

(608) 831-2070

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629136510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 ALLEN BLVD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622211",
            "telephone_number": "608-831-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 ALLEN BLVD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622211",
            "telephone_number": "608-831-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHHUBER",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "3084-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36112700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Middleton, WI · Orthopedic Physical Therapist in Wisconsin