Andrew J Connolly, PT, OCS, FAAOMPT | |
951 Main St Ste 120, Union Grove, WI 53182-1074 | |
(800) 974-4378 | |
(630) 515-1536 |
Full Name | Andrew J Connolly |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 29 Years |
Location | 951 Main St Ste 120, Union Grove, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891717229 | NPI | - | NPPES |
40306500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5392-024 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dpt Holdings Llc | 4688679293 | 176 |
Provider Name | Dpt Holdings Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20100708000581 |
Mailing Address | Practice Location Address |
---|---|
Andrew J Connolly, PT, OCS, FAAOMPT 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711 Ph: (800) 974-4378 | Andrew J Connolly, PT, OCS, FAAOMPT 951 Main St Ste 120, Union Grove, WI 53182-1074 Ph: (800) 974-4378 |
Katherine H Pettis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Main St, Union Grove, WI 53182 Phone: 262-878-9602 | |
Colleen Skott, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20816 Durand Ave, Union Grove, WI 53182 Phone: 763-689-5385 | |
Anthony R Matoska, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Main St, Union Grove, WI 53182 Phone: 262-878-9602 Fax: 262-878-9609 | |
Lane Thomas Laclair, DPT, CSCS, NSCA-CPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Main St, Union Grove, WI 53182 Phone: 262-878-9602 Fax: 262-878-9609 | |
Mrs. Shannon S. Arrieta, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Main St, Union Grove, WI 53182 Phone: 262-878-9602 Fax: 262-878-9609 | |
Heather S. Huebner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Main St, Union Grove, WI 53182 Phone: 262-878-9602 Fax: 262-878-9609 | |
Kevin M Huckstorf, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1201 Main St, Union Grove, WI 53182 Phone: 262-878-9602 Fax: 262-878-9609 |