John A Hendrickson, PT | |
8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217 | |
(414) 351-5794 | |
(414) 351-2770 |
Full Name | John A Hendrickson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 47 Years |
Location | 8911 North Port Washington Road, Bayside, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700897279 | NPI | - | NPPES |
40078100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1987024 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sport Clinic Physical Therapy Inc | 0244285187 | 9 |
Provider Name | Sport Clinic Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912918475 PECOS PAC ID: 0244285187 Enrollment ID: O20050314000970 |
Mailing Address | Practice Location Address |
---|---|
John A Hendrickson, PT 7206 W Freistadt Road, Mequon, WI 53092-1018 Ph: (262) 512-9977 | John A Hendrickson, PT 8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217 Ph: (414) 351-5794 |
Christopher Matthew Demarco, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Mrs. Jill Marie Repinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Deborah Jordan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 727 W Laramie Ln, Bayside, WI 53217 Phone: 414-444-4822 Fax: 414-444-4833 | |
Ashley Emery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Judy Atkins White, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Paul J Mansfield, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 |