John G Barrette, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3011 Issued in WI

Practice address

955 Main St Ste CD
Mukwonago, WI 53149-1752

Phone

(262) 662-9760

Fax

(262) 662-9761

NPI assigned

Apr 2, 2007

Last updated

Nov 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• Thera-Dynamics, S.C.

  • Physical Therapy Clinic/Center
  • Milwaukee, WI
  • NPI 1851366983

  Physical Therapist

  Medicare reassignment NPD
• Mukwonago Ramily Rehabilitation Clinic, LLC

  • Occupational Therapist
  • Mukwonago, WI
  • NPI 1457420648

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1629199260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 W LINCOLN AVE",
            "address_2": "STE 1",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272400",
            "telephone_number": "414-541-1118",
            "fax_number": "414-541-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE CD",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491752",
            "telephone_number": "262-662-9760",
            "fax_number": "262-662-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETTE",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40164000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lura M. Asby, PSY.D
• At Home Caring Angels, LLC
• Athletico LTD (Athletico Physical Therapy)
• Aurora Medical Group, Inc.
• Aurora Pharmacy Inc (Aurora Pharmacy)
• George A Barsamian, D.C.
• John Christopher Beauchamp, PT
• Branda Bendixen, RN
• James L. Bialk, D.D.S.
• Amanda Erin Binder, D.C.

• Physical Therapist in Mukwonago, WI
• Providers in Mukwonago, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.