| Cheryl Jackson, DPT | |
|
5404 W Loomis Rd, Greendale, WI 53129-1411 | |
| (414) 421-0088 | |
| Not Available |
| Full Name | Cheryl Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 5404 W Loomis Rd, Greendale, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730333436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9922-024 (Wisconsin) | Primary |
| Provider Name | Advantage Physical Therapy & Sports Rehab, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881773463 PECOS PAC ID: 8022016336 Enrollment ID: O20061121000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Jackson, DPT 2710 E Ramsey Ave, Cudahy, WI 53110-2409 Ph: () - | Cheryl Jackson, DPT 5404 W Loomis Rd, Greendale, WI 53129-1411 Ph: (414) 421-0088 |
Alyssa Rose Henke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7711 Freeland Ct, Greendale, WI 53129 Phone: 414-210-0088 Fax: 414-509-1630 | |
Dr. Matthew James Klinker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5700 Mockingbird Ln, Greendale, WI 53129 Phone: 708-704-5470 | |
Dr. Michelle Yasatan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5211 Roberts Dr, Greendale, WI 53129 Phone: 262-930-9814 | |
Sukaina Remtulla, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5404 W Loomis Rd, Greendale, WI 53129 Phone: 414-421-0088 | |
Ms. Annaluisa Reinert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Industrial Loop, Greendale, WI 53129 Phone: 414-216-3192 | |
Melissa Dechiara, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Industrial Loop, Greendale, WI 53129 Phone: 414-367-9594 | |
Theresa Pray, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5404 W Loomis Rd, Greendale, WI 53129 Phone: 414-421-0088 |