Gerad Donahue, DPT | |
5000 W Champion Dr Ste 113, Grand Chute, WI 54913-5000 | |
(920) 560-1123 | |
(920) 202-3535 |
Full Name | Gerad Donahue |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5000 W Champion Dr Ste 113, Grand Chute, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013398510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13601-24 (Wisconsin) | Primary |
Provider Name | Advanced Physical Therapy & Sports Medicine Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407857790 PECOS PAC ID: 2365432903 Enrollment ID: O20040514001027 |
Mailing Address | Practice Location Address |
---|---|
Gerad Donahue, DPT 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 Ph: (920) 991-2561 | Gerad Donahue, DPT 5000 W Champion Dr Ste 113, Grand Chute, WI 54913-5000 Ph: (920) 560-1123 |
Kyle S Schumacher, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5000 W Champion Dr, Grand Chute, WI 54913 Phone: 920-560-1123 | |
Advanced Physical Therapy & Sports Medicine Sc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5000 W Champion Dr, Grand Chute, WI 54913 Phone: 920-560-1123 Fax: 920-202-3535 | |
Abigail Schreiber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3750 Investors Ct, Grand Chute, WI 54913 Phone: 920-496-4700 |