Individual provider Active NPI

Jennifer A Barden, MS, PT,LAT

  • Physical Therapist
  • Wausau, WI
National Provider Identifier
1699852301
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5808-024 Issued in WI
Practice address
3200 Westhill Dr Ste 201
Wausau, WI 54401-4707
Phone
(715) 847-2382
Fax
(715) 847-2381
NPI assigned
Nov 1, 2006
Last updated
Jan 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 5808-024 WI Primary

Addresses

Primary practice location

3200 Westhill Dr Ste 201
Wausau, WI 54401-4707

Mailing address

1405 Kenwood Dr Ste B
Wausau, WI 54401-2949
Phone (715) 841-0002

Other practice location 1

PRO Physical Therapy & Hand Center of Wausau
1405 Kenwood Dr. Suite B
Wausau, WI 54401
Phone (715) 841-0002

Other identifiers 1

IdentifierTypeStateIssuer
5808-024OtherWISTATE LIC. NUMBER

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5808-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Centers of Wisconsin S C Physical Therapist PastSince Jun 1, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73823

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1699852301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 KENWOOD DR STE B",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012949",
            "telephone_number": "715-841-0002",
            "fax_number": "715-841-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WESTHILL DR STE 201",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014707",
            "telephone_number": "715-847-2382",
            "fax_number": "715-847-2381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PRO Physical Therapy & Hand Center of Wausau",
            "address_2": "1405 Kenwood Dr. Suite B",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "54401",
            "country_code": "US",
            "telephone_number": "715-841-0002",
            "fax_number": "715-841-0003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDEN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "MS, PT,LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5808-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC. NUMBER",
            "identifier": "5808-024",
            "state": "WI"
        }
    ],
    "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 Jan 3, 2020; 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.