Dr Alexander Charles Drake, DPT | |
1300 S Green Bay Rd, Suite #205, Racine, WI 53406-4469 | |
(262) 898-3930 | |
(262) 898-3933 |
Full Name | Dr Alexander Charles Drake |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1300 S Green Bay Rd, Racine, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750832275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13637-24 (Wisconsin) | Primary |
Provider Name | Thera-dynamics Sc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1851366983 PECOS PAC ID: 8820010317 Enrollment ID: O20051227000590 |
Mailing Address | Practice Location Address |
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Dr Alexander Charles Drake, DPT 1809 Shepherd Ct, Apartment# 206, Waukesha, WI 53186-5380 Ph: (908) 642-1629 | Dr Alexander Charles Drake, DPT 1300 S Green Bay Rd, Suite #205, Racine, WI 53406-4469 Ph: (262) 898-3930 |
Mrs. Jacqueline Lamberton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Shorewood Ct, Racine, WI 53402 Phone: 262-681-7129 | |
Jan A Vlasak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7300 Washington Ave, Suite B, Racine, WI 53406 Phone: 262-321-6000 | |
Carolyn Gurney, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6101 16th St, Racine, WI 53406 Phone: 262-898-2777 Fax: 262-637-7851 | |
Kimberly Nowak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3205 Wood Rd, Racine, WI 53406 Phone: 262-598-9146 | |
Mrs. Marie A Sager, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3205 Wood Rd, Racine, WI 53406 Phone: 262-598-9146 | |
Mrs. Paula Naomi Friedman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6101 16th St, Racine, WI 53406 Phone: 262-898-2777 Fax: 262-619-1547 | |
Alexander Lee Pope, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3665 N Wisconsin St, Racine, WI 53402 Phone: 262-989-4017 |