Individual provider Active NPI

Brittany Jill Young-Sanchez, PT, DPT

  • Physical Therapist
  • Hudson, WI
National Provider Identifier
1184999575
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11309-24 Issued in WI
Practice address
916 Carmichael Rd
Hudson, WI 54016-8280
Phone
(715) 505-3030
Fax
(715) 716-5190
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11309-24 WI Primary

Addresses

Primary practice location

916 Carmichael Rd
Hudson, WI 54016-8280

Mailing address

916 Carmichael Rd
Hudson, WI 54016-8280
Phone (715) 505-3030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161215000077 WI Practitioner - Physical Therapist in Private Practice 0941463467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Velocity Physical Therapy and Wellness Clinic LLCGroup PAC ID 8224318969, 4 clinicians

Practice addresses (Care Compare)

916 Carmichael Rd
Hudson, WI 54016-8280
Phone (715) 716-5191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11309-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Physical Therapy & Wellness Clinic, LLC CurrentSince Oct 29, 2016 Accepting new patients
Physical Therapy Providers, Inc. Physical Therapist Past Accepting new patients

Locations

916 Carmichael Rd
Hudson, WI 54016
Phone (715) 505-3030

816 Carmichael Rd
Hudson, WI 54016
Phone (715) 716-5191

1500 Madison Ave
Ste 2
New Richmond, WI 54017
Phone (715) 505-3030

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.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1184999575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 CARMICHAEL RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168280",
            "telephone_number": "715-505-3030",
            "fax_number": "715-716-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 CARMICHAEL RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168280",
            "telephone_number": "715-505-3030",
            "fax_number": "715-716-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-SANCHEZ",
        "first_name": "BRITTANY",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11309-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.