Individual provider Active NPI

Jennifer Louise Williams, PT

  • Physical Therapist
  • Wauwatosa, WI
National Provider Identifier
1184651663
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1262 Issued in AZ
Practice address
11450 W Burleigh St Ste 120
Wauwatosa, WI 53222-3218
Phone
(414) 443-9862
Fax
(414) 443-9868
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1262 AZ
Physical Therapist 225100000X 1262 AZ Primary

Addresses

Primary practice location

11450 W Burleigh St Ste 120
Wauwatosa, WI 53222-3218

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

4417 E Rocky Slope Dr
Phoenix, AZ 85044-6071
Phone (480) 628-2404

Other practice location 2

1675 E Melrose St Ste 101-103
Gilbert, AZ 85297-1001
Phone (602) 648-5444

Other practice location 3

951 Main St Ste 120
Union Grove, WI 53182-1074
Phone (800) 974-4378

Other practice location 4

20325 N 51st Ave Ste 150
Glendale, AZ 85308-4622
Phone (602) 648-5444

Other practice location 5

2040 S Alma School Rd Ste 19
Chandler, AZ 85286-7077
Phone (602) 648-5444

Other names 1

  • Jennifer L Berendt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040426001314 AZ Practitioner - Physical Therapist in Private Practice 3870580632 Reassigns benefits to 6 organizations
I20130919000146 WI Practitioner - Physical Therapist in Private Practice 3870580632 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinect Physical Therapy PLLCGroup PAC ID 3476713009, 46 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians
Midwest Orthopedic Specialty Hospital, LLCGroup PAC ID 7113078833, 65 clinicians

Practice addresses (Care Compare)

1118 N Recker Rd
Suite 109
Mesa, AZ 85205-5540
Phone (480) 833-2778

2940 E Banner Gateway Dr
Suite 425
Gilbert, AZ 85234-2177
Phone (480) 813-7900

8201 S Howell Ave
Suite 400
Oak Creek, WI 53154-8336
Phone (414) 295-9045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince May 26, 2020 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Aug 29, 2023 Accepting new patients
Center for Orthopedic Research and Educatoin Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Aug 29, 2023 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Jul 26, 2018 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Jun 1, 2023 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Jul 11, 2023 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Jun 1, 2023 Accepting new patients
360 Physical Therapy LLC CurrentSince Oct 15, 2018 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
Orthopedic Specialists of North America PLLC Physical Therapist CurrentSince May 26, 2020 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Performance Physical Therapy, LLC Physical Therapist Past Accepting new patients
Southwest Therapy Specialists, P.C. Orthopedic PastSince Jul 19, 2008 Accepting new patients
Campbell Orthopaedic Physical Therapy PC Physical Therapist PastSince Dec 16, 2012 Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Welch Physical Therapy and Sports Medicine, LLC Physical Therapist PastSince Jul 1, 2002 Accepting new patients
Physical Therapy Complete PLLC Physical Therapist Past Accepting new patients
East Valley Physical Therapy & Aquatic Rehabilitation LTD Physical Therapist Past Accepting new patients

Locations (25 of 46)

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

2040 S Alma School Rd
Ste 19
Chandler, AZ 85286

1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
Phone (602) 631-3161

2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000

1675 E Melrose St
Unit 101
Gilbert, AZ 85297

3507 S Mercy Rd
Ste 105
Gilbert, AZ 85297
Phone (480) 926-0404

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2940 E Banner Gateway Dr
Ste 200250
Gilbert, AZ 85234

3591 S Mercy Rd
Ste 204
Gilbert, AZ 85297
Phone (869) 742-6736

2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234

11851 N 51st Ave
Unit 110
Glendale, AZ 85304

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

20325 N 51st Ave
Ste 150
Glendale, AZ 85308
Phone (602) 795-6300

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

21083 N John Wayne Pkwy
Ste C104
Maricopa, AZ 85139
Phone (520) 233-7555

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456

1118 N Recker Rd
Ste 109
Mesa, AZ 85205
Phone (480) 833-2778

2222 E Highland Ave
Ste 310
Phoenix, AZ 85016
Phone (602) 512-8550

219 E Lexington Ave
Phoenix, AZ 85012
Phone (602) 264-0694

20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424

1661 E Camelback Rd
Ste 152
Phoenix, AZ 85016
Phone (602) 955-8885

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

Interoperability endpoints

  • Direct secure messaging: jennifer.williams.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1184651663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 W BURLEIGH ST STE 120",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223218",
            "telephone_number": "414-443-9862",
            "fax_number": "414-443-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4417 E Rocky Slope Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850446071",
            "country_code": "US",
            "telephone_number": "480-628-2404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1675 E Melrose St Ste 101-103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852971001",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 Main St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Union Grove",
            "state": "WI",
            "postal_code": "531821074",
            "country_code": "US",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20325 N 51st Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853084622",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 S Alma School Rd Ste 19",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852867077",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "1262",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BERENDT",
            "middle_name": "L",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.