Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth J Basak, PT

Individual provider Physical Therapist · NPI 1679777650

Elizabeth J Basak, PT is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2004, 22 years ago. Practices with Baycare Aurora LLC, a 199-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Licensed in
WI
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1630 Commanche Ave
Green Bay, WI 54313-5753
Phone: (920) 430-4750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 964 W Ryan St Ste B, Brillion, WI 54110-1077 — (920) 756-2055
  • 595 Ounty Road R, Denmark, WI 54208-9198 — (920) 863-2005
  • 744 S Webster Ave, Green Bay, WI 54301-3505 — (920) 433-7822
  • 3263 Eaton Rd, Green Bay, WI 54311-6830 — (920) 433-6700
  • 1580 Commanche Ave, Green Bay, WI 54313-5751 — (920) 435-8326

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10319-024 (WI)

Record details

NPI number1679777650
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 13, 2007
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021
Mailing addressPo Box 22487, Green Bay, WI 54305-2487

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Baycare Aurora Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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