Individual provider Active NPI

Anna Catherine Debruin, PT

  • Physical Therapist
  • Green Bay, WI
National Provider Identifier
1336769496
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15064 Issued in WI
Practice address
1970 S Ridge Rd
Green Bay, WI 54304-4125
Phone
(920) 430-4888
Fax
(920) 430-4889
NPI assigned
Apr 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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 15064 WI Primary

Addresses

Primary practice location

1970 S Ridge Rd
Green Bay, WI 54304-4125

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Other practice location 1

1800 Lawrence Dr
DE Pere, WI 54115-9108
Phone (920) 983-3220

Other practice location 2

235 E Ryan St
Brillion, WI 54110-1132
Phone (920) 756-2055

Other practice location 3

3415 Custer St Ste D
Manitowoc, WI 54220-4328
Phone (920) 652-9310

Other practice location 4

1630 Commanche Ave
Green Bay, WI 54313-5753
Phone (920) 430-4750

Other practice location 5

595 County Road R
Denmark, WI 54208-9120
Phone (920) 863-2005

Other names 1

  • Anna Flottmeyer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723000822 WI Practitioner - Physical Therapist in Private Practice 7113320466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

1970 S Ridge Rd
Green Bay, WI 54304-4125
Phone (920) 430-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15064WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Jan 30, 2026 Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Jan 30, 2026 Accepting new patients

Locations

235 E Ryan St
Brillion, WI 54110
Phone (920) 756-2055

964 W Ryan St
Ste B
Brillion, WI 54110
Phone (920) 756-2055

1800 Lawrence Dr
De Pere, WI 54115
Phone (920) 983-3220

595 R Rd
Denmark, WI 54208
Phone (920) 863-2005

1630 Commanche Ave
Green Bay, WI 54313
Phone (920) 430-4700

725 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-7995

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

3415 Custer St
Ste D
Manitowoc, WI 54220
Phone (920) 652-9310

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: aflottmeyer309658@direct.thedacare.org

Organizations & group practices 5

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": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1336769496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044125",
            "telephone_number": "920-430-4888",
            "fax_number": "920-430-4889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Lawrence Dr",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541159108",
            "country_code": "US",
            "telephone_number": "920-983-3220",
            "fax_number": "920-983-3226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 E Ryan St",
            "address_purpose": "LOCATION",
            "city": "Brillion",
            "state": "WI",
            "postal_code": "541101132",
            "country_code": "US",
            "telephone_number": "920-756-2055",
            "fax_number": "920-756-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415 Custer St Ste D",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542204328",
            "country_code": "US",
            "telephone_number": "920-652-9310",
            "fax_number": "920-652-9316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Commanche Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543135753",
            "country_code": "US",
            "telephone_number": "920-430-4750",
            "fax_number": "920-430-4746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "595 County Road R",
            "address_purpose": "LOCATION",
            "city": "Denmark",
            "state": "WI",
            "postal_code": "542089120",
            "country_code": "US",
            "telephone_number": "920-863-2005",
            "fax_number": "920-863-6416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBRUIN",
        "first_name": "ANNA",
        "middle_name": "CATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-19",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "FLOTTMEYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.