DR. NICHOLAS RAY BRICKL
NPI 1477440303
Physical Therapist in Portage, WI

Active since June 23, 2025
2815 NEW PINERY RD, PORTAGE, WI 53901(608) 745-6420 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2025, Jun 23, 2025 (2 updates tracked since 2025).

About Dr. Nicholas Ray Brickl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS RAY BRICKL (NPI 1477440303) is an individual physical therapist in Portage, Wisconsin, licensed in Wisconsin (17464-24) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1477440303
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. NICHOLAS RAY BRICKL
Location Address2815 NEW PINERY RDPortage, WI 53901-9257
Mailing Address8637 Mack RdSauk City, WI 53583-9521 · (608) 963-9644
Sole ProprietorNo
Enumeration DateJune 23, 2025
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1477440303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 17464-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2815 NEW PINERY RD, Portage, WI 53901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Ray Brickl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Brickl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
2817 NEW PINERY RD
Portage, WI 53901
  • Reassigned Medicare billing, Wisconsin enrollment
  • 359 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
2815 NEW PINERY RD
PORTAGE, WI 53901
Physical Therapist
2815 NEW PINERY RD
PORTAGE, WI 53901
Speech-Language Pathologist
2815 NEW PINERY RD
PORTAGE, WI 53901
Occupational Therapist
2815 NEW PINERY RD
PORTAGE, WI 53901
Physical Therapist
2815 NEW PINERY RD
PORTAGE, WI 53901
Physical Therapist
2815 NEW PINERY RD
PORTAGE, WI 53901
Physical Therapist
2815 NEW PINERY RD
PORTAGE, WI 53901
Physical Therapy Assistant
2815 NEW PINERY RD
PORTAGE, WI 53901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Brickl's NPI number?

The NPI number for Nicholas Brickl is 1477440303. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Nicholas Brickl located?

Nicholas Brickl practices at 2815 New Pinery Rd, Portage, WI 53901. The listed phone number is (608) 745-6420.

What is Nicholas Brickl's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nicholas Brickl enrolled in Medicare?

Yes. Nicholas Brickl is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Brickl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Brickl reassigns Medicare benefits to Divine Savior Healthcare, Inc. (Portage, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Brickl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Brickl was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.