| Advanced Spine And Sport Rehabilitation | |
|
6222 Washington Ave, Mount Pleasant, WI 53406-3948 | |
| (262) 884-6418 | |
| (262) 884-6489 |
| Full Name | Advanced Spine And Sport Rehabilitation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6222 Washington Ave, Mount Pleasant, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033277553 | NPI | - | NPPES |
| 40427900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Edward V Van De Water |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083772529 PECOS PAC ID: 2062316979 Enrollment ID: I20031121000811 |
| Provider Name | Thomas D Van De Water |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831257369 PECOS PAC ID: 8527067578 Enrollment ID: I20061220000429 |
| Provider Name | David N Van De Water |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811222938 PECOS PAC ID: 9032251848 Enrollment ID: I20100116000081 |
| Provider Name | Jacob A Raml |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740709187 PECOS PAC ID: 0345506630 Enrollment ID: I20171101002527 |
| Provider Name | Joellyn R Pfeilstifter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487139259 PECOS PAC ID: 2668717091 Enrollment ID: I20181213000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Spine And Sport Rehabilitation 6222 Washington Ave, Mount Pleasant, WI 53406-3948 Ph: (262) 884-6418 | Advanced Spine And Sport Rehabilitation 6222 Washington Ave, Mount Pleasant, WI 53406-3948 Ph: (262) 884-6418 |
Cheryl Lasselle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 N Fancher Rd, Mount Pleasant, WI 53406 Phone: 262-886-1956 | |
Mark Stephen Suthoff, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5502 Washington Ave Ste 500, Mount Pleasant, WI 53406 Phone: 262-637-2470 | |
Taylour R Iding, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5340 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-638-1272 Fax: 262-638-1287 | |
Dr. Joshua Vincent Egle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1103 Hunter Dr Ste 101, Mount Pleasant, WI 53406 Phone: 262-800-4440 Fax: 262-800-4434 | |
Extend Physical Therapy And Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1648 Kuiper Ln, Mount Pleasant, WI 53406 Phone: 262-902-7881 | |
Andrew James Hajduk, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5502 Washington Ave, Suite 500, Mount Pleasant, WI 53406 Phone: 262-637-2470 |