| 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 Wellenkotter |
|---|---|
| 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 | Samantha J Dawes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487385670 PECOS PAC ID: 4587044276 Enrollment ID: I20220712002967 |
| Provider Name | Gabrielle A Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215668900 PECOS PAC ID: 4284017971 Enrollment ID: I20220812001049 |
| 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 |
| Provider Name | Tyler William Wendt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992546840 PECOS PAC ID: 1951845536 Enrollment ID: I20240708001190 |
| Provider Name | Melissa Castillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306730072 PECOS PAC ID: 6002329844 Enrollment ID: I20250703000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Physical Therapy Llc 102 W Fulton St, Edgerton, WI 53534-1839 Ph: Not Available | 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 |
Melissa Castillo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 W Fulton St, Edgerton, WI 53534 Phone: 608-561-7733 |
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: Not Enrolled in Medicare 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: Medicare Enrolled Practice Location: 102 W Fulton St, Edgerton, WI 53534 Phone: 608-561-7733 Fax: 608-561-7763 |