Individual provider Active NPI

Brett W Knautz, DPT

  • Physical Therapist
  • Dodgeville, WI
National Provider Identifier
1043822448
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14999-24 Issued in WI
Practice address
800 Compassion Way
Dodgeville, WI 53533-1956
Phone
(608) 930-7147
NPI assigned
Aug 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-025313
Physical Therapist 225100000X 14999-24 WI Primary

Addresses

Primary practice location

800 Compassion Way
Dodgeville, WI 53533-1956

Mailing address

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-8000

Other practice location 1

1 Eastside Dr
East Peoria, IL 61611-3069
Phone (309) 694-7561

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220728001809 WI Practitioner - Physical Therapist in Private Practice 0345667952 Reassigns benefits to 1 organization

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
Upland Hills Health IncGroup PAC ID 3072415553, 97 clinicians

Practice addresses (Care Compare)

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-8000

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14999-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upland Hills Health, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Upland Hills Health, Inc CurrentSince Jul 1, 2022 Accepting new patients
Upland Hills Health Inc Current Accepting new patients

Locations

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

1050 Branger Dr
Ste 5
Mineral Point, WI 53565

1883 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-8040

Organizations & group practices 3

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1043822448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COMPASSION WAY",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331956",
            "telephone_number": "608-930-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMPASSION WAY",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331956",
            "telephone_number": "608-930-7147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Eastside Dr",
            "address_purpose": "LOCATION",
            "city": "East Peoria",
            "state": "IL",
            "postal_code": "616113069",
            "country_code": "US",
            "telephone_number": "309-694-7561",
            "fax_number": "309-694-8708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAUTZ",
        "first_name": "BRETT",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "070-025313",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14999-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.