Brittany Jean Taerud, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1929-19 Issued in WI

Practice address

316 N Milwaukee St
Suite 208
Milwaukee, WI 53202-5885

Phone

(888) 389-9030

Fax

(888) 389-9031

NPI assigned

Feb 18, 2013

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heritage Healthcare Group, LLC

  • Registered Dietitian
  • Milwaukee, WI
  • NPI 1225392046
  NPD (past)
• Heritage Healthcare Group LLC

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1386995058
  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1134469802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 LAVERNE DR",
            "address_2": "APT #2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114721",
            "telephone_number": "920-373-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N MILWAUKEE ST",
            "address_2": "SUITE 208",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025885",
            "telephone_number": "888-389-9030",
            "fax_number": "888-389-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAERUD",
        "first_name": "BRITTANY",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1929-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattison Nicole Taddei
• Nicholas Tadeo, M.D.
• Eyob A Tadesse, M.D.
• Tenzin Choenyi Tadhey
• Camille Tadych, RN
• Stephanie K Taff, RD
• Samuel Taft, PHARMD
• Taylor Taglienti, MS, LPC, NCC
• Sandrine Tagni Kounga, OD
• David Michael Tague

• Physical Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.