Individual provider Active NPI

Brandon M Wolff

  • Physical Therapist
  • Ashland, WI
National Provider Identifier
1336707785
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14695-24 Issued in WI
Practice address
1319 Beaser Ave
Ashland, WI 54806-3614
Phone
(715) 682-3468
NPI assigned
May 31, 2019
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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 14695-24 WI Primary

Addresses

Primary practice location

1319 Beaser Ave
Ashland, WI 54806-3614

Mailing address

520 Wilkes Dr
Ste 17
Green River, WY 82935-4854
Phone (307) 875-1788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221229001630 OR Practitioner - Physical Therapist in Private Practice 1456787159 Reassigns benefits to 1 organization
I20230927002237 WA Practitioner - Physical Therapist in Private Practice 1456787159 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14695-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Feb 10, 2025 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
New Proactive LLC Physical Therapist CurrentSince Dec 19, 2022 Accepting new patients
Multicare Health System CurrentSince Feb 10, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Javaman PS Physical Therapist CurrentSince Dec 20, 2023 Accepting new patients
Omnis Omnia Inc. PastSince Feb 4, 2015 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Physical Therapist Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Select Physical Therapy Holdings, Inc. PastSince Mar 28, 2021 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

25500 SE Stark St
Ste 103
Gresham, OR 97030
Phone (503) 263-6786

1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047

450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410

2075 Barkley Blvd
Ste 200
Bellingham, WA 98226
Phone (360) 733-4008

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

135 W Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-9111

31653 Pacific Hwy S
Ste B
Federal Way, WA 98003
Phone (253) 252-7137

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1336707785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WILKES DR",
            "address_2": "STE 17",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829354854",
            "telephone_number": "307-875-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 BEASER AVE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063614",
            "telephone_number": "715-682-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "BRANDON",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14695-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.