Active NPI
Ryan Bedingfield, MPT
- Physical Therapist
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10820-024
- Practice address
- 19045 W Capitol Dr
Suite 101
Brookfield, WI 53045-2706 - Phone
- (262) 790-9800
- Fax
- (262) 790-9893
- NPI assigned
- Sep 6, 2006
- Last updated
- Dec 7, 2018
- 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 | 10820-024 | WI | Primary |
Addresses
Primary practice location
19045 W Capitol Dr
Suite 101
Brookfield, WI 53045-2706
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871696013 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2615 N Downer Ave
Milwaukee, WI 53211-4245
Phone (414) 962-4400
3077 N Mayfair Rd
Suite 105
Wauwatosa, WI 53222-4305
Phone (414) 455-5797
5708 B 75TH St
Kenosha, WI 53142-3635
Phone (262) 697-9135
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10820-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Freedom Physical Therapy Services SC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
19045 W Capitol Dr
Ste 101
Brookfield, WI 53045
Phone (262) 790-9800
1235 Dakota Dr
Ste L
Grafton, WI 53024
Phone (262) 376-2085
5708 75th St
#B
Kenosha, WI 53142
Phone (262) 697-9135
6926 39th Ave
Kenosha, WI 53142
Phone (262) 942-0163
902 S Wells St
Lake Geneva, WI 53147
Phone (262) 249-1915
2615 N Downer Ave
Milwaukee, WI 53211
Phone (414) 962-4400
6908 N Santa Monica Blvd
Milwaukee, WI 53217
Phone (414) 352-2082
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
- Fox Point, WI
- NPI 1063406544
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1871696013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19045 W CAPITOL DR",
"address_2": "SUITE 101",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530452706",
"telephone_number": "262-790-9800",
"fax_number": "262-790-9893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDINGFIELD",
"first_name": "RYAN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10820-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871696013",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.