Active NPI
Brenna Elizabeth Meyer, DPT
- Physical Therapist
- Lake Mills, WI
National Provider Identifier
1821402249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12745 - 24
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12745 - 24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Physical Therapy, LLC | Physical Therapist | Current | 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.
-
- Registered Dietitian
- Wake Forest, NC
- NPI 1639887623
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
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.