Active NPI
Brenda L McGinley, OT
- Blind Rehabilitation Specialist/Technologist
- Milwaukee, WI
National Provider Identifier
1891245585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blind Rehabilitation Specialist/Technologist
- Practice address
- 5000 W National Ave
Milwaukee, WI 53295-2455 - Phone
- (414) 384-2000
- NPI assigned
- Oct 6, 2016
- Last updated
- Jun 6, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1857-26 | WI | |
| Blind Rehabilitation Specialist/Technologist | 2255R0406X | Primary |
Addresses
Primary practice location
5000 W National Ave
Milwaukee, WI 53295-2455
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (414) 321-2255
Other practice location 1
2424 S 90th St
West Allis, WI 53227-2455
Phone (414) 321-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100088438 | Medicaid | WI |
Other names 1
- Brenda Biesack
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190604001989 | WI | Practitioner - Occupational Therapist in Private Practice | 2567795636 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1891245585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "414-321-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W NATIONAL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532952455",
"telephone_number": "414-384-2000"
}
],
"practiceLocations": [
{
"address_1": "2424 S 90th St",
"address_purpose": "LOCATION",
"city": "West Allis",
"state": "WI",
"postal_code": "532272455",
"country_code": "US",
"telephone_number": "414-321-2255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGINLEY",
"first_name": "BRENDA",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "1857-26",
"primary": false
},
{
"code": "2255R0406X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Rehabilitation, Blind",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100088438",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "BIESACK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.