Active NPI
Brian Budach, PT, DPT, ATC, CSCS
- Physical Therapist
- Forest City, IA
National Provider Identifier
1780903583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 605 E J St
Suite 400
Forest City, IA 50436-1664 - Phone
- (641) 585-7550
- Fax
- (641) 585-1551
- NPI assigned
- May 19, 2010
- Last updated
- May 19, 2010
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
605 E J St
Suite 400
Forest City, IA 50436-1664
Mailing address
205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216
Phone (312) 640-0329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
115 N Mill St
Lake Mills, IA 50450-1303
Phone (641) 592-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Stutzman Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Lake Mills Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Past | Accepting new patients |
Locations
115 N Mill St
Lake Mills, IA 50450
Phone (641) 592-3500
Organizations & group practices 3
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.
-
- Physical Therapist
- Lake Mills, IA
- NPI 1295138436
-
- Physical Therapist
- Lake Mills, IA
- NPI 1063519692
-
dba Athletico Physical Therapy
- Clinic/Center
- Des Moines, IA
- NPI 1871900985
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1780903583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W WACKER DR",
"address_2": "SUITE 1020",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061216",
"telephone_number": "312-640-0329",
"fax_number": "312-640-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E J ST",
"address_2": "SUITE 400",
"city": "FOREST CITY",
"state": "IA",
"postal_code": "504361664",
"telephone_number": "641-585-7550",
"fax_number": "641-585-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDACH",
"first_name": "BRIAN",
"credential": "PT, DPT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-19",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.