Jaimee Davila, DPT | |
2639 New Pinery Rd Ste 2, Portage, WI 53901-1110 | |
(607) 429-3568 | |
Not Available |
Full Name | Jaimee Davila |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2639 New Pinery Rd Ste 2, Portage, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649962861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 16311-24Z (Wisconsin) | Primary |
Provider Name | New Life Physical Therapy & Sports Medicine Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467499939 PECOS PAC ID: 2567413339 Enrollment ID: O20050209000470 |
Mailing Address | Practice Location Address |
---|---|
Jaimee Davila, DPT 401 N Eau Claire Ave Apt 205, Madison, WI 53705-2848 Ph: (608) 751-0601 | Jaimee Davila, DPT 2639 New Pinery Rd Ste 2, Portage, WI 53901-1110 Ph: (607) 429-3568 |
Elizabeth Sharron Reddeman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290 | |
Emily Lugo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2815 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290 | |
Kristin Vorpahl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 715 W Pleasant St, Portage, WI 53901 Phone: 608-745-5910 | |
Edward Rothbauer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd, Suite 2, Portage, WI 53901 Phone: 608-742-9356 Fax: 608-742-9358 | |
Mrs. Sue Lyn Condon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Suite 103, Portage, WI 53901 Phone: 608-745-6211 Fax: 608-745-6250 | |
Kristina Hellenbrand, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2639 New Pinery Road, Suite 2, Portage, WI 53901 Phone: 608-742-9356 Fax: 608-742-9358 | |
Dr. Tanya Lynne Schimek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Suite 103, Portage, WI 53901 Phone: 608-745-6290 Fax: 608-745-6250 |