Individual provider Active NPI

Brittani Jean Brennan, DPT

  • Physical Therapist
  • Ashland, WI
National Provider Identifier
1588213607
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14852-24 Issued in WI
Practice address
400 3Rd Ave W Ste 100
Ashland, WI 54806-1679
Phone
(715) 682-8000
Fax
(715) 682-3145
NPI assigned
Sep 11, 2019
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 14852-24 WI Primary

Addresses

Primary practice location

400 3Rd Ave W Ste 100
Ashland, WI 54806-1679

Mailing address

400 3Rd Ave W Ste 100
Ashland, WI 54806-1679
Phone (715) 682-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022001849 WI Practitioner - Physical Therapist in Private Practice 8921330002 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14852-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Physical Therapy S.C. CurrentSince Sep 17, 2019 Accepting new patients

Locations

400 3rd Ave W
Ashland, WI 54806
Phone (715) 682-8000

400 3rd Ave W
Ste 100
Ashland, WI 54806
Phone (715) 682-8000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1588213607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 3RD AVE W STE 100",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061679",
            "telephone_number": "715-682-8000",
            "fax_number": "715-682-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 3RD AVE W STE 100",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061679",
            "telephone_number": "715-682-8000",
            "fax_number": "715-682-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "BRITTANI",
        "middle_name": "JEAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14852-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.