Christopher John Ciciora, PT, DPT | |
13250 Washington Ave, Mount Pleasant, WI 53177-1516 | |
(262) 799-8330 | |
Not Available |
Full Name | Christopher John Ciciora |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 13250 Washington Ave, Mount Pleasant, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538637186 | NPI | - | NPPES |
100225231 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15331 (Wisconsin) | Primary |
Provider Name | Jvb Pt Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1548770050 PECOS PAC ID: 8325301666 Enrollment ID: O20180418002621 |
Mailing Address | Practice Location Address |
---|---|
Christopher John Ciciora, PT, DPT Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Christopher John Ciciora, PT, DPT 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (262) 799-8330 |
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 | |
Advanced Spine And Sport Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 6222 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-6418 Fax: 262-884-6489 | |
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 |