Brittany Pollentier, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10751-024 Issued in WI

Practice address

125 Hospital Dr
Watertown, WI 53098-3303

Phone

(920) 262-4220

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Physical Therapy LLCGroup PAC ID 0749360097, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrated Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Madison, WI
  • NPI 1295923308
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982723839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 BULTMAN RD APT 302",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043675",
            "telephone_number": "608-467-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983303",
            "telephone_number": "920-262-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLENTIER",
        "first_name": "BRITTANY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10751-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Niles Petersen, D.C.
• Neal Aaron Petersen, MSSW
• Allison M Pfaff, RD
• Philip M Marden MD SC
• Jacalyn Phillips, M.S. CCC-SLP
• Teresa Price
• Prohealth Medical Group Inc
• Purity Dialysis Centers, Inc (Watertown Dialysis Center)
• Carol Frances Quest, RN
• Heather Raatz, APNP

• Physical Therapist in Watertown, WI
• Providers in Watertown, WI by specialty
• Physical Therapist in Wisconsin

• 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.
• 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.