Individual provider Active NPI

Brenna Smith, DPT

  • Physical Therapist
  • Waterford, WI
National Provider Identifier
1033726245
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15223-54 Issued in WI
Practice address
808 Cornerstone CT
Waterford, WI 53185-1503
Phone
(262) 928-9725
Fax
(262) 928-9721
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15223-54 WI Primary

Addresses

Primary practice location

808 Cornerstone CT
Waterford, WI 53185-1503

Mailing address

808 Cornerstone CT
Waterford, WI 53185-1503
Phone (262) 928-9725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729001572 WI Practitioner - Physical Therapist in Private Practice 8527461474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians

Practice addresses (Care Compare)

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-7276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15223-54WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Plus Management Corp Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Prohealth Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Prohealth Medical Group Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

19045 W Capitol Dr
Ste 101
Brookfield, WI 53045
Phone (262) 790-9800

700 Pilgrim Pkwy
Ste L8
Elm Grove, WI 53122
Phone (262) 289-1950

9120 W Loomis Rd
Ste 200
Franklin, WI 53132
Phone (414) 448-4100

5708 75th St
#B
Kenosha, WI 53142
Phone (262) 697-9135

241 N Broadway
Ste 403
Milwaukee, WI 53202
Phone (262) 796-2850

2615 N Downer Ave
Milwaukee, WI 53211
Phone (414) 962-4400

410 E Washington St
Ste 2
Slinger, WI 53086
Phone (262) 395-9262

808 Cornerstone Xing
Waterford, WI 53185
Phone (262) 500-5292

808 Cornerstone Ct
Waterford, WI 53185
Phone (262) 928-1977

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

Interoperability endpoints

  • Direct secure messaging: brenna.murphy.p7@direct.athleticoltd.nextgenshare.com
  • Direct secure messaging: brenna.murphy.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1033726245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 CORNERSTONE CT",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531851503",
            "telephone_number": "262-928-9725",
            "fax_number": "262-928-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 CORNERSTONE CT",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531851503",
            "telephone_number": "262-928-9725",
            "fax_number": "262-928-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15223-54",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.