Bryanna R Blochowiak, D-PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15405-24 Issued in WI

Practice address

744 S Webster Ave
Green Bay, WI 54301-3505

Phone

(920) 433-3655

Fax

(920) 433-3539

NPI assigned

Jun 4, 2021

Last updated

Jun 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Spine Therapy of Menasha SCGroup PAC ID 8123923869, 20 clinicians

Orthopedic and Spine Therapy of Green Bay SCGroup PAC ID 3072416502, 5 clinicians

Orthopedic and Spine Therapy of Brillion, SCGroup PAC ID 7416945688, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Orthopedic & Spine Therapy of Green Bay, SC

  • Physical Therapist
  • De Pere, WI
  • NPI 1558477307
  Medicare reassignment Care Compare group NPD
• Orthopedic and Spine Therapy of Menasha SC

  • Physical Therapist
  • Kaukauna, WI
  • NPI 1831260611
  Medicare reassignment Care Compare group NPD
• Orthopedic & Spine Therapy of Brillion, SC

  • Physical Therapist
  • Manitowoc, WI
  • NPI 1154368843
  Care Compare group
• Orthopedic & Spine Therapy of Green Bay SC

  • Physical Therapist
  • De Pere, WI
  • NPI 1033588579
  NPD
• Orthopedic & Spine Therapy of Menasha SC

  • Physical Therapist
  • Appleton, WI
  • NPI 1932136322
  NPD

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1467029926",
    "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",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-3655",
            "fax_number": "920-433-3539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 S Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013500",
            "country_code": "US",
            "telephone_number": "920-433-3655",
            "fax_number": "920-433-3539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOCHOWIAK",
        "first_name": "BRYANNA",
        "middle_name": "R",
        "credential": "D-PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15405-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Lynn Blatz, NNP-BC
• Bridget G Blean, MAC
• Stacey Bleick
• Jeffrey A Blink, MD
• Jeffrey Paul Blise, CRNA
• Brooke Block, D.C.
• Connie Bloedel, CERTIFIED DIETICIAN
• Ruth Kraszewski Bloesl, FNP-BC APNP
• Sara Blohm
• Carolyn Blohowiak, PHARMD

• Physical Therapist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.