Ekaterina V Eisfeldt, PTA | |
8911 N Port Washington Rd, Bayside, WI 53217-1634 | |
(414) 351-5794 | |
(414) 351-2770 |
Full Name | Ekaterina V Eisfeldt |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 8911 N Port Washington Rd, Bayside, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790110120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 14499-24 (Wisconsin) | Primary |
Provider Name | Lake Terrace Nursing And Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1053803031 PECOS PAC ID: 0446509681 Enrollment ID: O20220314001558 |
Provider Name | Empowerme Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134844848 PECOS PAC ID: 2769723162 Enrollment ID: O20230503002799 |
Mailing Address | Practice Location Address |
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Ekaterina V Eisfeldt, PTA 8911 N Port Washington Rd, Bayside, WI 53217-1634 Ph: (414) 351-5794 | Ekaterina V Eisfeldt, PTA 8911 N Port Washington Rd, Bayside, WI 53217-1634 Ph: (414) 351-5794 |
Christopher Matthew Demarco, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Mrs. Jill Marie Repinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Deborah Jordan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 727 W Laramie Ln, Bayside, WI 53217 Phone: 414-444-4822 Fax: 414-444-4833 | |
Ashley Emery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Judy Atkins White, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
John A Hendrickson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Paul J Mansfield, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 |