David Anthony Gillis, PT | |
15350 W National Ave Ste 102-219, New Berlin, WI 53151-5158 | |
(262) 227-8541 | |
(414) 755-1481 |
Full Name | David Anthony Gillis |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 15350 W National Ave Ste 102-219, 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 |
---|---|---|---|
1487867321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4429024 (Wisconsin) | Primary |
Provider Name | Column Rehab Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639226756 PECOS PAC ID: 8426088899 Enrollment ID: O20051114001215 |
Mailing Address | Practice Location Address |
---|---|
David Anthony Gillis, PT 15350 W National Ave Ste 102, New Berlin, WI 53151-5158 Ph: (262) 227-8541 | David Anthony Gillis, PT 15350 W National Ave Ste 102-219, New Berlin, WI 53151-5158 Ph: (262) 227-8541 |
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 |