Individual provider Active NPI

Brett Janssen

  • Physical Therapist
  • Neenah, WI
National Provider Identifier
1700364429
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1511 S Commercial St
Neenah, WI 54956-4801
Phone
(920) 720-0660
Fax
(920) 720-0666
NPI assigned
Aug 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 Primary

Addresses

Primary practice location

1511 S Commercial St
Neenah, WI 54956-4801

Mailing address

5911 Town Hall Dr
Pulaski, WI 54162-8920
Phone (920) 680-5026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515000375 WI Practitioner - Physical Therapist in Private Practice 4587901707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Schubbe Resch Chiropractic and Physical Therapy Center LLCGroup PAC ID 8820031917, 10 clinicians

Practice addresses (Care Compare)

279 N Altenhofen Dr
Appleton, WI 54913-8401
Phone (920) 720-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14429WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schubbe Resch Chiropractic & Physical Therapy Center, LLC CurrentSince Jan 2, 2021 Accepting new patients
Marshfield Clinic Inc CurrentSince May 6, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince May 6, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince May 6, 2019 Accepting new patients

Locations

279 N Altenhofen Dr
Appleton, WI 54913
Phone (920) 720-0660

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1511 S Commercial St
Neenah, WI 54956
Phone (920) 720-0660

1446 State Highway 47 E
Woodruff, WI 54568
Phone (715) 356-9999

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1700364429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 TOWN HALL DR",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "541628920",
            "telephone_number": "920-680-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564801",
            "telephone_number": "920-720-0660",
            "fax_number": "920-720-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "BRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.