Active NPI
Brittany Marie St John, OTR
- Occupational Therapist
- Madison, WI
National Provider Identifier
1073050977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6003-026
- Practice address
- 639 Struck St
Madison, WI 53719-1383 - Phone
- (608) 234-5990
- NPI assigned
- Jan 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6003-026 | WI | Primary |
Addresses
Primary practice location
639 Struck St
Madison, WI 53719-1383
Mailing address
2141 E Johnson St
Madison, WI 53704-4726
Phone (541) 990-2722
Other practice location 1
2927 S Fish Hatchery Rd
Fitchburg, WI 53711-6498
Phone (608) 819-6394
Other names 1
- Brittany Marie Broadbent
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6003-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Therapy Network | Occupational Therapist | Past | Accepting new patients |
| Communication Innovations, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Madison, WI
- NPI 1780917880
-
- Clinic/Center
- Fitchburg, WI
- NPI 1508033564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1073050977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 E JOHNSON ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537044726",
"telephone_number": "541-990-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 STRUCK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537191383",
"telephone_number": "608-234-5990"
}
],
"practiceLocations": [
{
"address_1": "2927 S Fish Hatchery Rd",
"address_purpose": "LOCATION",
"city": "Fitchburg",
"state": "WI",
"postal_code": "537116498",
"country_code": "US",
"telephone_number": "608-819-6394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ST JOHN",
"first_name": "BRITTANY",
"middle_name": "MARIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-30",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6003-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "BROADBENT",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Madison, WI
- SSM Health Care of Wisconsin, Inc (SSM Health St. Mary's Hospital - Madison)
- SSM Health Care of Wisconsin, Inc (SSM Health St. Mary's Hospital - Madison)
- SSM Health Care of Wisconsin, Inc (SSM Health St Mary's Hospital - Madison)
- SSM Health Care of Wisconsin, Inc. (SSM Health St. Mary's Hospital-Madison)
- SSM Health Care of Wisconsin, Inc. (St Marys Care Center Pharmacy)
- St Mary's Dean Ventures Inc (Breast Core Biopsy Center)
- St Marys Care and Rehab Center LLC
- St. Charles Youth & Family Services
- St. Charles Youth & Family Services
- Nicole Erin St. Clair, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.