Active NPI
Brian Kass, PT, DPT, OCS
- Physical Therapist
- Florence, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11338-024
- Practice address
- 1010 Olive Avenue
Florence, WI 54121 - Phone
- (715) 528-4775
- NPI assigned
- Mar 30, 2018
- Last updated
- Aug 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501013364 | MI | |
| Physical Therapist | 225100000X | 11338-024 | WI | Primary |
Addresses
Primary practice location
1010 Olive Avenue
Florence, WI 54121
Mailing address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 445-7226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Mayo Medical School, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
440 Woodward Ave
Iron Mountain, MI 49801-4631
Phone (906) 776-9040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11338-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Physical Therapist | Current | Accepting new patients |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
106 S School Rd
Daggett, MI 49821
Phone (906) 753-2155
610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488
440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040
1100 10th St
Menominee, MI 49858
Phone (906) 863-2256
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Organizations & group practices 8
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.
-
dba Bellin Health Heart & Vascular Crystal Falls
- Cardiovascular Disease Physician
- Crystal Falls, MI
- NPI 1376649509
-
dba Emplify Health Oconto Hospital
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
dba Bellin Health Menominee
- Rural Health Clinic/Center
- Menominee, MI
- NPI 1356799969
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
Physical Therapist
-
dba Bellin Health Suring
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
dba Bellin Health Marinette
- Rural Health Clinic/Center
- Marinette, WI
- NPI 1528412673
-
dba Bellin Health Daggett
- Rural Health Clinic/Center
- Daggett, MI
- NPI 1043668643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1083110076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-445-7226",
"fax_number": "920-445-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 OLIVE AVENUE",
"city": "FLORENCE",
"state": "WI",
"postal_code": "54121",
"telephone_number": "715-528-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASS",
"first_name": "BRIAN",
"credential": "PT, DPT, OCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-30",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013364",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11338-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.