| Greg Fernandez, DPT | |
|
2225 Wisconsin Ave Ste 100, Grafton, WI 53024-2608 | |
| (262) 474-0063 | |
| (262) 222-6281 |
| Full Name | Greg Fernandez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2225 Wisconsin Ave Ste 100, Grafton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215481148 | NPI | - | NPPES |
| 1215481148 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11288 (Wisconsin) | Primary |
| Provider Name | Aurora Advanced Healthcare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20100913000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Fernandez, DPT N69w5289 Columbia Rd, Cedarburg, WI 53012-2156 Ph: (262) 546-4696 | Greg Fernandez, DPT 2225 Wisconsin Ave Ste 100, Grafton, WI 53024-2608 Ph: (262) 474-0063 |
Anne R. Harley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020 | |
Christopher David Potter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2700 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 Phone: 262-474-0063 Fax: 262-222-6281 | |
Mrs. Lauren Monticelli, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2700 | |
Ms. Abbey Lynn Valentine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-4888 | |
Rachel Ann Schraufnagel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1235 Dakota Dr Ste L, Grafton, WI 53024 Phone: 262-376-2085 | |
Jacob Mcchrystal, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 |