Back In Action Rehabilitation S.c. is a
Physical Therapist based in Kewaskum, Wisconsin. Back In Action Rehabilitation S.c. is licensed to practice in * (Not Available) (license number ) and their current practice location is
1057 Fond Du Lac Ave, Kewaskum, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(262) 626-6700.
NPI number for Back In Action Rehabilitation S.c. is 1053512095 and their current mailing address is 103 S Pioneer Rd # 100, Fond Du Lac, Wisconsin. Back In Action Rehabilitation S.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1053512095.
Healthcare Provider's Profile
Full Name | Back In Action Rehabilitation S.c. |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 1057 Fond Du Lac Ave, Kewaskum, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053512095
- Provider Enumeration Date: 05/29/2007
- Last Update Date: 11/01/2010
Medical Identifiers
Medical identifiers for Back In Action Rehabilitation S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053512095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Back In Action Rehabilitation S.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Back In Action Rehabilitation S.c. 103 S Pioneer Rd # 100, Fond Du Lac, WI 54935-3871 Ph: (920) 922-7776 | Back In Action Rehabilitation S.c. 1057 Fond Du Lac Ave, Kewaskum, WI 53040-9495 Ph: (262) 626-6700 |
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