Individual provider Active NPI

Brittany Reinke, DPT

  • Physical Therapist
  • Green Bay, WI
National Provider Identifier
1992189989
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13182-24 Issued in WI
Practice address
2400 Ruffed CT
Green Bay, WI 54311-5232
Phone
(920) 360-6126
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13182-024 WI
Physical Therapist 225100000X 13182 WI
Physical Therapist 225100000X 13182-24 WI Primary

Addresses

Primary practice location

2400 Ruffed CT
Green Bay, WI 54311-5232

Mailing address

2400 Ruffed CT
Green Bay, WI 54311-5232
Phone (920) 360-6126

Other practice location 1

1110 Kepler Dr
Green Bay, WI 54311-8306
Phone (920) 340-0653

Other names 1

  • Mrs. Brittany Frederick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13182WIMDPhysical Therapist
13182-024WIMDPhysical Therapist
13182-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter John Jacques Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1992189989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 RUFFED CT",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115232",
            "telephone_number": "920-360-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 RUFFED CT",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115232",
            "telephone_number": "920-360-6126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Kepler Dr",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543118306",
            "country_code": "US",
            "telephone_number": "920-340-0653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINKE",
        "first_name": "BRITTANY",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13182-024",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13182",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13182-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "FREDERICK",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.