Alec Christopher Brew, DPT
Individual provider Active NPI Physical Therapist · Bellevue, WI
NPI 1336716349 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1336716349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16421-24 (WI)
- Practice address
- 2394 Costco Way Ste 120
Bellevue, WI 54311-9226 - Phone
- (920) 321-0348
- Fax
- (920) 888-4272
- NPI assigned
- Jun 8, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletic and Therapeutic Institute of Milwaukee, LLC
Practice addresses (Care Compare)
2394 Costco Way
Suite 120
Bellevue, WI 54311-9207
Phone (920) 321-0348
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.05 of 100
- Quality
- 88.38
- Improvement activities
- 40
- Cost
- 64.82
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230724000630 | WI | Practitioner - Physical Therapist in Private Practice | 4183026156 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019291 | OH | MD | Physical Therapist |
| 16421-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current |
Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Current |
Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
2304 Lineville Rd
Ste 112
Green Bay, WI 54313
Phone (920) 321-0351
2394 Costco Way
Ste 120
Green Bay, WI 54311
Phone (920) 321-0348
S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019291 | OH | |
| Physical Therapist | 225100000X | 16421-24 | WI | Yes |
Addresses
Primary practice location
2394 Costco Way Ste 120
Bellevue, WI 54311-9226
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
4686 Belmont Ave
Youngstown, OH 44505-1012
Phone (330) 423-4795
Other providers in Bellevue, WI
- Brennen Douglas Barnes
- Allison Mary Birschbach
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Courtyard at Bellevue
- Phillip Crum
All providers in Bellevue, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.