John Barrette, PT | |
W231s7680 Big Bend Dr, Big Bend, WI 53103-9686 | |
(262) 662-9760 | |
(262) 662-9761 |
Full Name | John Barrette |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | W231s7680 Big Bend Dr, Big Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629199260 | NPI | - | NPPES |
40164000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3011 (Wisconsin) | Primary |
Provider Name | Thera-dynamics Sc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1851366983 PECOS PAC ID: 8820010317 Enrollment ID: O20051227000590 |
Mailing Address | Practice Location Address |
---|---|
John Barrette, PT 8800 W Lincoln Ave, Ste 1, Milwaukee, WI 53227-2400 Ph: (414) 541-1118 | John Barrette, PT W231s7680 Big Bend Dr, Big Bend, WI 53103-9686 Ph: (262) 662-9760 |
Ms. Kathryn L. Hammer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: W231s7680 Big Bend Dr, Big Bend, WI 53103 Phone: 262-662-9760 Fax: 262-662-9761 | |
Anne Marie Lenichek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W231s7680 Big Bend Dr, Big Bend, WI 53103 Phone: 262-662-9760 | |
Sarah Olson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: S71w23325 National Ave, Big Bend, WI 53103 Phone: 262-662-9775 Fax: 262-662-9773 |