Jacob J Brenner III, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

167 N Main St
Amherst, WI 54406-9028

Phone

(715) 529-3424

Fax

(715) 251-6236

NPI assigned

Sep 14, 2020

Last updated

Jun 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roberts and Associates Physical Therapy SCGroup PAC ID 5890724041, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roberts & Associates Physical Therapy SC

  dba Roberts Physical Therapy

  • Physical Therapist
  • Wisconsin Rapids, WI
  • NPI 1346342839
  Medicare reassignment Care Compare group NPD
• Roberts & Associates Physical Therapy SC

  dba Roberts Physical Therapy

  • Physical Therapy Clinic/Center
  • Wisconsin Rapids, WI
  • NPI 1538300306
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1003421355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "AMHERST",
            "state": "WI",
            "postal_code": "544060324",
            "telephone_number": "715-529-3424",
            "fax_number": "715-251-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N MAIN ST",
            "city": "AMHERST",
            "state": "WI",
            "postal_code": "544069028",
            "telephone_number": "715-529-3424",
            "fax_number": "715-251-6236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 W North St",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "WI",
            "postal_code": "549669557",
            "country_code": "US",
            "telephone_number": "715-529-4400",
            "fax_number": "715-251-6236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 8th St S",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544945019",
            "country_code": "US",
            "telephone_number": "715-529-3487",
            "fax_number": "715-251-6236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "JACOB",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amherst Chiropractic LLC
• Amherst Family Dental LLC
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Amherst Clinic)
• Andria Bena
• Kim Marie Berweger, D.C.
• Nathan Brown, DPT
• Thomas Charron, LMT
• David Ecker
• Kimberly J Genske
• Lisa Grasshoff, LPC

• Physical Therapist in Amherst, WI
• Providers in Amherst, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.