Individual provider Active NPI

Bridget McDermott, DPT, PT

  • Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1396434296
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049000 Issued in NY
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

Updated by the provider on Jun 24, 2024

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 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

Enrollment IDStateProvider typePAC IDDetails
I20240626000390 WI Practitioner - Physical Therapist in Private Practice 4789128216 Reassigns benefits to 1 organization

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
Marquette UniversityGroup PAC ID 0648221028, 15 clinicians

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

LicenseStateTypeSpecialty
049000NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marquette University Physical Therapist CurrentSince May 24, 2024 Accepting new patients
Marquette University CurrentSince May 24, 2024 Accepting new patients
The Unity Hospital of Rochester PastSince May 1, 2023 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.

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.

Verify at the official NPI Registry.