Active NPI
Bridget McDermott, DPT, PT
- Physical Therapist
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049000
- Practice address
- 604 N. 16TH St Cramer Hall
Room 104
Milwaukee, WI 53233 - Phone
- (414) 288-1400
- Fax
- (414) 288-6079
- NPI assigned
- May 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 049000 | NY | Primary |
Addresses
Primary practice location
604 N. 16TH St Cramer Hall
Room 104
Milwaukee, WI 53233
Mailing address
604 N 16TH St RM 215
Milwaukee, WI 53233-2117
Phone (414) 288-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
604 N 16TH St
RM 104
Milwaukee, WI 53233-2117
Phone (414) 288-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049000 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marquette University | Physical Therapist | Current | Accepting new patients |
| Marquette University | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Past | Accepting new patients |
Locations
604 N 16th St
Rm 104
Milwaukee, WI 53233
Phone (414) 288-1400
604 N 16th St
Milwaukee, WI 53233
Phone (414) 288-1400
604 N 16th St
#104
Milwaukee, WI 53233
Phone (414) 288-6754
604 N 16th St
Rm 215
Milwaukee, WI 53233
Phone (414) 288-1400
Organizations & group practices 3
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.
-
- Physical Therapist
- Milwaukee, WI
- NPI 1396020194
-
- Audiologist
- Milwaukee, WI
- NPI 1629556592
-
- Skilled Nursing Facility
- Rochester, NY
- NPI 1164406476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1396434296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 N 16TH ST RM 215",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532332117",
"telephone_number": "414-288-1400",
"fax_number": "414-288-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N. 16TH ST CRAMER HALL",
"address_2": "ROOM 104",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53233",
"telephone_number": "414-288-1400",
"fax_number": "414-288-6079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "BRIDGET",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-05",
"last_updated": "2024-06-24",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.