| Forward Physical Therapy Llc | |
|
102 W Fulton St, Edgerton, WI 53534-1839 | |
| (920) 265-6192 | |
| Not Available |
| Full Name | Forward Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 102 W Fulton St, Edgerton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942774252 | NPI | - | NPPES |
| 1649610809 | Medicaid | WI | |
| 100059717 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jedd Wellenkotter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649610809 PECOS PAC ID: 5193969038 Enrollment ID: I20160531002301 |
| Provider Name | Kristen Clare Nett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679027221 PECOS PAC ID: 1951696137 Enrollment ID: I20160826001503 |
| Provider Name | Thomas Connor Felstead |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093454092 PECOS PAC ID: 9234518788 Enrollment ID: I20220614001627 |
| Provider Name | Michelle Lee Lafave |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679265839 PECOS PAC ID: 9436518719 Enrollment ID: I20230705001194 |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Physical Therapy Llc 102 W Fulton St, Edgerton, WI 53534-1839 Ph: () - | Forward Physical Therapy Llc 102 W Fulton St, Edgerton, WI 53534-1839 Ph: (920) 265-6192 |
Paul Herrlinger, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 Stoughton Rd, Edgerton, WI 53534 Phone: 608-884-3441 | |
Cassy M Cooley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 313 Stoughton Rd, Edgerton, WI 53534 Phone: 608-884-1390 Fax: 608-884-1393 | |
Mr. Adam Paljieg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 313 Stoughton Rd, Edgerton, WI 53534 Phone: 608-884-1330 | |
Rachel E Snow, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 Stoughton Rd, Edgerton, WI 53534 Phone: 608-884-1330 | |
Jedd P Wellenkotter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 W Fulton St, Edgerton, WI 53534 Phone: 608-290-5883 | |
Kristen Wellenkotter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 W Fulton St, Edgerton, WI 53534 Phone: 608-561-7733 Fax: 608-561-7763 | |
Michelle Lafave, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 W Fulton St, Edgerton, WI 53534 Phone: 608-561-7733 |