Individual provider Active NPI

Brenna Elizabeth Meyer, DPT

  • Physical Therapist
  • Lake Mills, WI
National Provider Identifier
1821402249
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12745 - 24 Issued in WI
Practice address
805 Elm St
Lake Mills, WI 53551-1127
Phone
(920) 648-2400
Fax
(920) 648-2444
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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 12745 - 24 WI Primary

Addresses

Primary practice location

805 Elm St
Lake Mills, WI 53551-1127

Mailing address

805 Elm St
Lake Mills, WI 53551-1127
Phone (920) 648-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220625000546 WI Practitioner - Physical Therapist in Private Practice 5991184616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12745 - 24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Best Physical Therapy, LLC Past Accepting new patients

Locations

1726 Eagan Rd
#100
Madison, WI 53704
Phone (608) 265-1221

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Wisconsin School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Physical Therapy LLC 75 clinicians

Practice addresses (Care Compare)

1726 Eagan Rd
Suite 100
Madison, WI 53704-3702
Phone (919) 791-6260

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1821402249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ELM ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511127",
            "telephone_number": "920-648-2400",
            "fax_number": "920-648-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ELM ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511127",
            "telephone_number": "920-648-2400",
            "fax_number": "920-648-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "BRENNA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12745 - 24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mills, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.