Active NPI
Jennifer L Brown, PT
- Physical Therapist
- Weston, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6063
- Practice address
- 3402 Howland Ave
Suite 100
Weston, WI 54476-5633 - Phone
- (715) 355-5701
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 8, 2007
- 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 | 6063 | WI | Primary |
Addresses
Primary practice location
3402 Howland Ave
Suite 100
Weston, WI 54476-5633
Mailing address
3000 Westhill Dr
Suite 303
Wausau, WI 54401-3795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40342900 | Medicaid | WI |
Other names 1
- Jennifer L Hieb
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6063 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Past | Accepting new patients | |
| Aspirus Wausau Hospital Inc | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
3402 Howland Ave
Ste 100
Weston, WI 54476
Phone (715) 355-5701
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aspirus Wausau Hospital Hospitalists
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
dba Aspirus Wausau Hospital, Inc-WEMSA
- Emergency Medicine Physician
- Wausau, WI
- NPI 1740341585
-
dba Aspirus Palliative Medicine- Wisconsin
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
-
- Clinic/Center
- Wausau, WI
- NPI 1144272089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851407423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 WESTHILL DR",
"address_2": "SUITE 303",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544013795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 HOWLAND AVE",
"address_2": "SUITE 100",
"city": "WESTON",
"state": "WI",
"postal_code": "544765633",
"telephone_number": "715-355-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "6063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40342900",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HIEB",
"middle_name": "L",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.