Active NPI
Shania Brandt, DPT
- Physical Therapist
- Madison, WI
National Provider Identifier
1649855065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15321-24
- Practice address
- 5565 Tancho Dr
Madison, WI 53718-1901 - Phone
- (608) 230-4000
- NPI assigned
- Mar 17, 2021
- Last updated
- Mar 17, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15321-24 | WI | Primary |
Addresses
Primary practice location
5565 Tancho Dr
Madison, WI 53718-1901
Mailing address
508 Meadowlark LN
Portage, WI 53901-1290
Phone (608) 963-8269
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15321-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1649855065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 MEADOWLARK LN",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539011290",
"telephone_number": "608-963-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5565 TANCHO DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537181901",
"telephone_number": "608-230-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "SHANIA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-17",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15321-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.