Provider Demographics
NPI:1992189989
Name:REINKE, BRITTANY (DPT)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:REINKE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:FREDERICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 RUFFED CT
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54311-5232
Mailing Address - Country:US
Mailing Address - Phone:920-360-6126
Mailing Address - Fax:
Practice Address - Street 1:2400 RUFFED CT
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54311-5232
Practice Address - Country:US
Practice Address - Phone:920-360-6126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13182-024225100000X
WI13182225100000X
WI13182-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI0000521358Medicare PIN