MR. BRENT BODE (PT) – Physical Therapist, NPI 1003084005
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI
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Provider Addresses for MR. BRENT BODE (PT)
1177, Quail Court, Village of Pewaukee, Waukesha County, Wisconsin, 53072, United States
SUITE 200
PEWAUKEE, WI 530723790
Phone: (262) 695-3057
Fax: (262) 695-3063
Type: Mailing
Body Mechanics Physical Therapy, 807, North Jefferson Street, East Town, Milwaukee, Milwaukee County, Wisconsin, 53202, United States
MILWAUKEE, WI 532028150
Phone: (414) 224-8219
Fax: (414) 224-8246
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080411000100 | I | Physical Therapist In Private Practice | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53072)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | WI | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 162 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Occupational Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | WI | |
| Physical Therapist In Private Practice | WI | |
| Physical Therapist In Private Practice | WI | |
| Physical Therapist In Private Practice | WI | |
| Physical Therapist In Private Practice | WI | |
| Physical Therapist In Private Practice | WI | |
| Physical Therapist In Private Practice | WI | |
| Occupational Therapist In Private Practice | WI |
Reviews
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