KATELYN M BASDEN (DPT) – Physical Therapist, NPI 1326809146

KATELYN M BASDEN (DPT) is a healthcare provider. based in Menasha, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 16477 (WI). The NPI Number for KATELYN M BASDEN (DPT) is 1326809146

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN M BASDEN (DPT)
NPI
1326809146
Phone
Not provided
Address
1000 MIDWAY RD
Enumeration Date
18 January 2024
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209823670
Graduation Year
2023 (3 years ago)
PAC ID
4284070731
Group Practice PAC ID
6901869411
Professional Enrollment ID
I20240307000746
Address ID
WI549611176NE315XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for KATELYN M BASDEN (DPT)

  • 1000 MIDWAY RD

    MENASHA, WI 549521116

    Phone:

    Type: Mailing

  • 315 BURTON RD STE 107

    NEW LONDON, WI 549611176

    Phone: (920) 982-3670

    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: 2024-03-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240307000746IPhysical Therapist In Private PracticeWITBD

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.

Verify on CMS Revalidation Lookup Tool

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 54952)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901869411View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
-WI

Reviews

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Frequently asked questions

Is there an official ID for KATELYN M BASDEN (DPT) in U.S. healthcare records?
The official identifier for KATELYN M BASDEN (DPT) is NPI 1326809146.
Is KATELYN M BASDEN (DPT) shown as active in public data?
Registry records indicate KATELYN M BASDEN (DPT) maintains an active NPI.
What clinical focus is listed for KATELYN M BASDEN (DPT)?
At a glance, KATELYN M BASDEN (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with KATELYN M BASDEN (DPT)?
Directory geography for KATELYN M BASDEN (DPT) centers on Menasha, Wisconsin.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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