Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prerna Brisky

Individual provider Physical Therapist · NPI 1679971899

Prerna Brisky is a Physical Therapist in Private Practice in Gordon, Wisconsin. Qualified in 2017, 9 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas and Wisconsin.

Years since qualifying
9
Licensed in
TX, WI
In the registry since
2014
Specialties on file
2

Practice location Address checks out

14624 S Whitefish Lake Rd
Gordon, WI 54838-9363
Phone: (954) 816-4150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1580 Sawgrass Corporate Pkwy, Sunrise, FL 33323-2859 — (954) 332-4445

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12930 (WI)
Physical Therapist Taxonomy 225100000X · Licence 1247587 (TX)

Record details

NPI number1679971899
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 22, 2014
Last updated in NPPESDecember 6, 2018
Mailing address14624 S Whitefish Lake Rd, Gordon, WI 54838-9363

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount