| Jay D Sparks, PT, DPT | |
|
227500 Rib Mountain Dr Ste 220, Wausau, WI 54401-5052 | |
| (800) 974-4378 | |
| (630) 515-1536 |
| Full Name | Jay D Sparks |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 227500 Rib Mountain Dr Ste 220, Wausau, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861868820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13000-24 (Wisconsin) | Primary |
| Provider Name | Dpt Holdings Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20100708000581 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay D Sparks, PT, DPT 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711 Ph: (800) 974-4378 | Jay D Sparks, PT, DPT 227500 Rib Mountain Dr Ste 220, Wausau, WI 54401-5052 Ph: (800) 974-4378 |
Morgan Lynn Glodowski, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3200 Westhill Dr Ste 100, Wausau, WI 54401 Phone: 715-843-1058 | |
Debra Baumann, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2600 Rib Mountain Dr Ste 220, Physiotherapy Associates, Wausau, WI 54401 Phone: 715-843-5300 Fax: 715-843-5329 | |
Kimberly A Halama, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-842-8548 Fax: 715-842-8467 | |
Dr. Samantha Marie Morache, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 333 Pine Ridge Blvd, Wausau, WI 54401 Phone: 800-283-2881 | |
Trevor Wolfe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 E Wausau Ave, Wausau, WI 54403 Phone: 906-285-2785 | |
Mrs. Lisa E Lang, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3200 Westhill Dr, Suite 100, Wausau, WI 54401 Phone: 715-847-2827 Fax: 715-847-2048 | |
Krista Marie Zubke, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2826 |