Jenna M Schlicht, DPT | |
3503 E. Layton Ave, Ste 100, Cudahy, WI 53110-1408 | |
(414) 489-0270 | |
(414) 489-0356 |
Full Name | Jenna M Schlicht |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3503 E. Layton Ave, Cudahy, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144639683 | NPI | - | NPPES |
12734215 | Other | WI | CAQH |
100040276 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12795-24 (Wisconsin) | Primary |
Provider Name | Aurora Medical Group, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Provider Name | Sports Physical Therapists Of Cudahy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679014120 PECOS PAC ID: 9436428513 Enrollment ID: O20170705001841 |
Mailing Address | Practice Location Address |
---|---|
Jenna M Schlicht, DPT Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 925-5004 | Jenna M Schlicht, DPT 3503 E. Layton Ave, Ste 100, Cudahy, WI 53110-1408 Ph: (414) 489-0270 |
Gina Landry, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3503 E. Layton Ave, Suite 100, Cudahy, WI 53110 Phone: 414-489-0270 | |
Ally Marthaler-gerads, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-4702 | |
Benjamin Pape, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3503 E Layton Ave Ste 100, Cudahy, WI 53110 Phone: 414-489-0270 Fax: 414-489-0356 | |
Dr. Sara Ann Thomas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6000 S Buckhorn Ave, Unit 103, Cudahy, WI 53110 Phone: 608-412-2843 | |
Sports Physical Therapists Of Cudahy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3503 E Layton Ave, Ste 100, Cudahy, WI 53110 Phone: 262-925-5000 Fax: 262-925-5001 | |
Dr. Hilary Korb, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-4072 Fax: 414-489-4074 |