Angela Renee Becker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13520-24 Issued in WI

Practice address

401 S 12TH Ave
Wausau, WI 54401-4258

Phone

(920) 450-5561

NPI assigned

Jul 30, 2015

Last updated

Nov 10, 2023By 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 names 1

• Angela R Hammond Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Parkview Nursing and Rehab, LLC

  • Skilled Nursing Facility
  • Green Bay, WI
  • NPI 1104394758
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1659756732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 12TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 12TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014258",
            "telephone_number": "920-450-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13520-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HAMMOND",
            "middle_name": "R",
            "credential": "D-PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott D Bautch, DC
• Erin Marie Bayerl, PA
• Vincent E Bearjar, D.M.D.
• Robert N. Beauchene, M.D.
• Andrew Beaumont, M.D., PH.D.
• Sarah J Becker, PA
• Megan Bednarczyk, LPC
• Behavioral Health Clinic, LLC
• Brad Beilke, PT
• Erika Leah Beining, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.