ANNA CATHERINE DEBRUIN (PT) – Physical Therapist, NPI 1336769496

ANNA CATHERINE DEBRUIN (PT) is a healthcare provider. based in Green bay, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 15064 (WI). The NPI Number for ANNA CATHERINE DEBRUIN (PT) is 1336769496

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ANNA CATHERINE DEBRUIN (PT)
NPI
1336769496
Phone
(920) 430-4750
Address
1630 Commanche Ave
Enumeration Date
19 April 2020
Last Update Date
30 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204304888
Graduation Year
2020 (6 years ago)
PAC ID
7113320466
Group Practice PAC ID
8820900749
Professional Enrollment ID
I20210723000822
Address ID
WI543044125GR1970XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for ANNA CATHERINE DEBRUIN (PT)

  • 1630 Commanche Ave

    Green Bay, WI 543135753

    Phone: (920) 430-4750

    Fax: (920) 430-4746

    Type: Location

  • 235 E Ryan St

    Brillion, WI 541101132

    Phone: (920) 756-2055

    Fax: (920) 756-3350

    Type: Location

  • 1836 SOUTH AVE

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

  • PO BOX 22487

    GREEN BAY, WI 543052487

    Phone:

    Type: Mailing

  • 964 W RYAN ST STE B

    BRILLION, WI 541101077

    Phone: (920) 756-2055

    Fax: (920) 756-3350

    Type: Location

  • 595 County Road R

    Denmark, WI 542089120

    Phone: (920) 863-2005

    Fax: (920) 863-6416

    Type: Location

  • 1800 Lawrence Dr

    DE Pere, WI 541159108

    Phone: (920) 983-3220

    Fax: (920) 983-3226

    Type: Location

  • 3415 Custer St Ste D

    Manitowoc, WI 542204328

    Phone: (920) 652-9310

    Fax: (920) 652-9316

    Type: Location

  • 1970 S RIDGE RD

    GREEN BAY, WI 543044125

    Phone: (920) 430-4888

    Fax: (920) 430-4889

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210723000822IPhysical Therapist In Private PracticeWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20424$0
97140Therapy procedure using manual technique, each 15 minutes9317$0
97162Evaluation for physical therapy, typically 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 54313)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820900749View full group profile
NameSpecialtyState
Family PracticeWI
-WI
Nurse PractitionerWI
Physical Therapist In Private PracticeWI
-WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWA
Certified Registered Nurse Anesthetist (Crna)WI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

What unique ID ties claims to ANNA CATHERINE DEBRUIN (PT)?
NPI 1336769496 is assigned to ANNA CATHERINE DEBRUIN (PT) under the national enumeration system.
Is ANNA CATHERINE DEBRUIN (PT)'s NPI currently valid?
The extract we use shows ANNA CATHERINE DEBRUIN (PT) as active.
What does ANNA CATHERINE DEBRUIN (PT) treat or focus on?
Patients typically see ANNA CATHERINE DEBRUIN (PT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANNA CATHERINE DEBRUIN (PT)?
The page summarizes Green Bay, Wisconsin for ANNA CATHERINE DEBRUIN (PT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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