| Keystone Physical Therapy Llc | |
|
19265 W Capitol Dr Ste L01, Brookfield, WI 53045-2740 | |
| (262) 790-5775 | |
| (262) 790-5710 |
| Full Name | Keystone Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 19265 W Capitol Dr Ste L01, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427196765 | NPI | - | NPPES |
| 392031168010 | Other | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Wisconsin) | Primary |
| Provider Name | Diane M Lapota |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275577785 PECOS PAC ID: 9234101569 Enrollment ID: I20040809000311 |
| Provider Name | Heather C Teplin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447318951 PECOS PAC ID: 4082710512 Enrollment ID: I20070430000614 |
| Provider Name | Kent R Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477719151 PECOS PAC ID: 0244307163 Enrollment ID: I20080918000467 |
| Provider Name | Stephanie J Helmuth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558405290 PECOS PAC ID: 0749437572 Enrollment ID: I20120829000449 |
| Provider Name | Sandra S Moloney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356692537 PECOS PAC ID: 0345491239 Enrollment ID: I20121127000728 |
| Provider Name | Jessica L Blievernicht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700149358 PECOS PAC ID: 9133379944 Enrollment ID: I20140806000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Physical Therapy Llc 19265 W Capitol Dr Ste L01, Brookfield, WI 53045-2740 Ph: (262) 790-5775 | Keystone Physical Therapy Llc 19265 W Capitol Dr Ste L01, Brookfield, WI 53045-2740 Ph: (262) 790-5775 |
Kristin M Gehringer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Mackenzi Bowman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd, Brookfield, WI 53045 Phone: 262-923-7101 | |
Jamie Wickershiem, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17500 W Bluemound Rd, Ste B, Brookfield, WI 53045 Phone: 262-901-2800 Fax: 262-784-2914 | |
Mrs. Shelley Sue Brenholt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17280 W North Ave, # 104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Christina Inez Rose Hochla, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 195 Discovery Dr, Brookfield, WI 53045 Phone: 262-513-7500 | |
Mrs. Marcy R Heuer, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19525 W North Avenue, Franciscan Woods, Brookfield, WI 53045 Phone: 262-785-1114 Fax: 262-780-3805 | |
Mrs. Jennifer Anne Werner-clinton, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3415 N 127th St, Brookfield, WI 53005 Phone: 262-781-8144 |