ELIZABETH J BASAK (PT) – Physical Therapist, NPI 1679777650
Physical Therapist
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NPPES metrics only — not quality of care.
1,990 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI
Provider Addresses for ELIZABETH J BASAK (PT)
3263 Eaton Rd
Green Bay, WI 543116830
Phone: (920) 433-6700
Fax: (920) 433-6719
Type: Location
1580 Commanche Ave
Green Bay, WI 543135751
Phone: (920) 435-8326
Type: Location
744 S Webster Ave
Green Bay, WI 543013505
Phone: (920) 433-7822
Fax: (920) 433-3651
Type: Location
595 ounty Road R
Denmark, WI 542089198
Phone: (920) 863-2005
Fax: (920) 863-6416
Type: Location
964 W Ryan St Ste B
Brillion, WI 541101077
Phone: (920) 756-2055
Fax: (920) 756-3350
Type: Location
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
GREEN BAY, WI 543052487
Phone: (920) 445-7226
Fax: (920) 445-7229
Type: Mailing
1630, Commanche Avenue, Ashwaubenon, Brown County, Wisconsin, 54313, United States
GREEN BAY, WI 543135753
Phone: (920) 430-4750
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: 2011-12-09
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 |
|---|---|---|---|---|
| I20111209000096 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 350 | 36 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 230 | 23 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 19 | 17 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 54311)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | WI | 97001 | Physical therapy evaluation | 14 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| U R O L O G Y | WI | |
| Cardiovascular Disease (Cardiology) | WI | |
| N E U R O L O G Y | WI | |
| - | WI | |
| Cardiovascular Disease (Cardiology), Peripheral Vascular Disease | WI | |
| Nurse Practitioner | WI | |
| Internal Medicine | WI | |
| - | ME | |
| Physician Assistant | IL |
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