David N Van De Water, DPT | |
6222 Washington Ave, Mount Pleasant, WI 53406-3948 | |
(262) 884-6418 | |
(262) 884-6489 |
Full Name | David N Van De Water |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 15 Years |
Location | 6222 Washington Ave, Mount Pleasant, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811222938 | NPI | - | NPPES |
11232-024 | Other | WI | PHYSICAL THERAPY LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11232-024 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Spine And Sport | 6800895855 | 5 |
Provider Name | Advanced Spine And Sport |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033277553 PECOS PAC ID: 6800895855 Enrollment ID: O20061220000416 |
Mailing Address | Practice Location Address |
---|---|
David N Van De Water, DPT 6222 Washington Ave, Mount Pleasant, WI 53406-3948 Ph: (262) 884-6418 | David N Van De Water, DPT 6222 Washington Ave, Mount Pleasant, WI 53406-3948 Ph: (262) 884-6418 |
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 |