Individual provider Active NPI

Rachael Brochtrup, PT

  • Physical Therapist
  • Fond Du Lac, WI
National Provider Identifier
1851131965
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16741-24 Issued in WI
Practice address
101 Camelot Dr Ste 4
Fond Du Lac, WI 54935-8048
Phone
(920) 929-9712
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy and Sports Medicine SC 62 clinicians

Practice addresses (Care Compare)

2105 E Enterprise Ave
Suite 113
Appleton, WI 54913-7862
Phone (920) 991-2561

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626001124 WI Practitioner - Physical Therapist in Private Practice 3870037328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16741-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy & Sports Medicine SC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Advanced Physical Therapy & Sports Medicine SC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients

Locations

3841 10th St
Menominee, MI 49858
Phone (906) 352-4033

2851 E Apple Creek Rd
Appleton, WI 54913

1100 E South River St
Appleton, WI 54915
Phone (920) 832-6760

218 E Lawrence St
Appleton, WI 54911

2105 E Enterprise Ave
Ste 113
Appleton, WI 54913
Phone (920) 560-1083

1640 N Casaloma Dr
Appleton, WI 54913
Phone (920) 560-1147

W3124 Van Roy Rd
Appleton, WI 54915
Phone (920) 730-2747

2105 E Enterprise Ave
Appleton, WI 54913
Phone (920) 560-1000

270 N Main St
Clintonville, WI 54929
Phone (715) 468-6098

355 N Peters Ave
Ste 3A
Fond du Lac, WI 54935
Phone (920) 933-5292

101 Camelot Dr
Ste 4
Fond du Lac, WI 54935
Phone (920) 929-9712

124 Siegler St
Green Bay, WI 54303
Phone (920) 494-9661

2223 Lime Kiln Rd
Green Bay, WI 54311
Phone (920) 430-4770

W6931 School Rd
Greenville, WI 54942
Phone (920) 757-9820

1200 Flightway Dr
Hobart, WI 54115
Phone (920) 425-7140

225 W Kennedy Ave
Kimberly, WI 54136

1931 Marinette Ave
Marinette, WI 54143
Phone (715) 735-5500

110 W North Water St
Neenah, WI 54956
Phone (920) 215-6225

1370 N Shawano St
Ste A
New London, WI 54961
Phone (920) 531-1100

3303 W 20th Ave
Oshkosh, WI 54904
Phone (920) 305-7910

324 Washington Ave
Oshkosh, WI 54901
Phone (920) 305-7910

402 Eureka St
Ripon, WI 54971
Phone (920) 560-1000

212 E Green Bay St
Ste A
Shawano, WI 54166
Phone (715) 521-5226

217 N 4th Ave
Unit 5
Sturgeon Bay, WI 54235
Phone (920) 818-0419

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16741-24 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

101 Camelot Dr Ste 4
Fond Du Lac, WI 54935-8048

Mailing address

2105 E Enterprise Ave Ste 113
Appleton, WI 54913-7862
Phone (920) 991-2561

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2025.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1851131965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE STE 113",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-991-2561",
            "fax_number": "920-991-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMELOT DR STE 4",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358048",
            "telephone_number": "920-929-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCHTRUP",
        "first_name": "RACHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16741-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.