Physical Therapist
ELIZABETH BASAK PT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1679777650 · enumerated 2007-06-13 · record updated 2021-11-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1630 COMMANCHE AVE, GREEN BAY, WI, 54313-5753 (920) 430-4750 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 22487, GREEN BAY, WI, 54305-2487 (920) 445-7226 Fax (920) 445-7229 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License 10319-024 WI
Published links
In this directory
Locations and evidence
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Practice location
GREEN BAY, WI, 543135753
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.