Active NPI
David Beimborn, PT
- Physical Therapist
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3414-24
- Practice address
- 1621 N Taylor Dr
Suite 300
Sheboygan, WI 53081-1990 - Phone
- (920) 496-4700
- NPI assigned
- Nov 9, 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 | 3414-24 | WI | Primary |
Addresses
Primary practice location
1621 N Taylor Dr
Suite 300
Sheboygan, WI 53081-1990
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131118001484 | WI | Practitioner - Physical Therapist in Private Practice | 5597991703 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300
3113 Saemann Ave
Sheboygan, WI 53081-1957
Phone (920) 496-4700
PO Box
Suite 19070
Green Bay, WI 54307-9070
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3414-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Physical Therapist | Current | Accepting new patients |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Physical Therapist | Current | Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients |
Locations
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
1621 N Taylor Dr
Ste 300
Sheboygan, WI 53081
Phone (920) 458-4419
3113 Saemann Ave
Sheboygan, WI 53081
3303 Superior Ave
Sheboygan, WI 53081
Phone (920) 208-3557
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
Physical Therapist, WI
-
- General Practice Physician
- Green Bay, WI
- NPI 1285613638
Physical Therapist, WI
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
-
- Durable Medical Equipment & Medical Supplies
- Green Bay, WI
- NPI 1245042530
-
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1730184342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1972804854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19070",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543079070",
"telephone_number": "920-496-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 N TAYLOR DR",
"address_2": "SUITE 300",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811990",
"telephone_number": "920-496-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEIMBORN",
"first_name": "DAVID",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-09",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3414-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.