Courtney Amborn, DPT | |
14555 W National Ave, New Berlin, WI 53151-4494 | |
(262) 827-2929 | |
Not Available |
Full Name | Courtney Amborn |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 14555 W National Ave, New Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629685110 | NPI | - | NPPES |
100117623 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 14995 (Wisconsin) | Primary |
Provider Name | Aurora Medical Group, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Provider Name | Lakeshore Medical Clinic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Provider Name | Baycare Aurora Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
Provider Name | Aurora Advanced Healthcare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245755487 PECOS PAC ID: 6507832573 Enrollment ID: O20170915001646 |
Mailing Address | Practice Location Address |
---|---|
Courtney Amborn, DPT 14555 W National Ave, New Berlin, WI 53151-4494 Ph: (262) 827-2929 | Courtney Amborn, DPT 14555 W National Ave, New Berlin, WI 53151-4494 Ph: (262) 827-2929 |
Scott D Brau, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15175 W National Ave, New Berlin, WI 53151 Phone: 262-649-2135 Fax: 262-229-8716 | |
Joseph Ogden, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15175 W National Ave, New Berlin, WI 53151 Phone: 262-649-2135 Fax: 262-229-8716 | |
Kristin Grace Heinz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15312 W Beloit Rd, New Berlin, WI 53151 Phone: 262-641-5771 | |
Mr. Susan Schober Kinosian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2895 S Moorland Rd, New Berlin, WI 53151 Phone: 262-782-9015 Fax: 262-782-9013 | |
Mara M. Spencer, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14555 W National Ave, Ste. 135, New Berlin, WI 53151 Phone: 262-827-3180 Fax: 262-827-3180 | |
David Campbell Raupp, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15465 W Howard Ave, New Berlin, WI 53151 Phone: 262-786-4422 | |
Ms. Lisa M Hollman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4805 S Moorland Rd, New Berlin, WI 53151 Phone: 262-798-7200 Fax: 262-798-7201 |