Active NPI
Brooke Nicole Kopacz Tuttle, DPT
- Orthopedic Physical Therapist
- Baldwin, WI
National Provider Identifier
1639954787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 16439-24
- Practice address
- 1100 Bergslien St
Baldwin, WI 54002-2600 - Phone
- (715) 684-1505
- NPI assigned
- Aug 28, 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 16439-24 | WI | Primary |
Addresses
Primary practice location
1100 Bergslien St
Baldwin, WI 54002-2600
Mailing address
535 Hunter Hill Rd
Hudson, WI 54016-1866
Phone (715) 977-1844
Other practice location 1
705 Wisconsin Dr
New Richmond, WI 54017-2601
Phone (920) 496-4700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | btuttle406560@ewd.direct.hshs.org | Direct | Sacred Heart Hospital of the Hospital Sisters- 3rd Order of St Francis |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1639954787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 HUNTER HILL RD",
"city": "HUDSON",
"state": "WI",
"postal_code": "540161866",
"telephone_number": "715-977-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BERGSLIEN ST",
"city": "BALDWIN",
"state": "WI",
"postal_code": "540022600",
"telephone_number": "715-684-1505"
}
],
"practiceLocations": [
{
"address_1": "705 Wisconsin Dr",
"address_purpose": "LOCATION",
"city": "New Richmond",
"state": "WI",
"postal_code": "540172601",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUTTLE",
"first_name": "BROOKE",
"middle_name": "NICOLE KOPACZ",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-28",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "16439-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "btuttle406560@ewd.direct.hshs.org",
"affiliation": "Y",
"affiliationName": "Sacred Heart Hospital of the Hospital Sisters- 3rd Order of St Francis",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "705 Wisconsin Dr",
"city": "New Richmond",
"state": "WI",
"country_code": "US",
"postal_code": "540172601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baldwin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.