Jill Anderson, PT | |
116 N Main St, Shawano, WI 54166-2356 | |
(715) 526-7370 | |
Not Available |
Full Name | Jill Anderson |
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Gender | Female |
Speciality | Physical Therapist |
Location | 116 N Main St, Shawano, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427233071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9625-024 (Wisconsin) | Primary |
Provider Name | Advanced Physical Therapy & Sports Medicine Sc |
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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 |
---|---|
Jill Anderson, PT 4863 Meadow Dr, Green Bay, WI 54313-4405 Ph: (920) 865-7124 | Jill Anderson, PT 116 N Main St, Shawano, WI 54166-2356 Ph: (715) 526-7370 |
Mark Scott Herbert, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N4231 State Highway 22, Shawano, WI 54166 Phone: 715-526-3158 Fax: 715-526-6225 | |
Rachel Ann Lohrengel, D-PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 | |
Matthew James Osborne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 Fax: 999-999-9999 | |
Brittany L Perkins, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Johanna Grover, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Paul Michael Theuerkauf, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 N Bartlett St, Shawano, WI 54166 Phone: 616-862-9714 | |
Heather Beverly Sheski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 |