| Mary Nilles, PT | |
|
10180 Washington Ave, Mount Pleasant, WI 53177-1604 | |
| (262) 687-7500 | |
| Not Available |
| Full Name | Mary Nilles |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10180 Washington Ave, Mount Pleasant, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447897004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14700 (Wisconsin) | Primary |
| Provider Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Nilles, PT 10180 Washington Ave, Mount Pleasant, WI 53177-1604 Ph: (262) 687-7500 | Mary Nilles, PT 10180 Washington Ave, Mount Pleasant, WI 53177-1604 Ph: (262) 687-7500 |
Cheryl Lasselle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 N Fancher Rd, Mount Pleasant, WI 53406 Phone: 262-886-1956 | |
Mark Stephen Suthoff, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5502 Washington Ave Ste 500, Mount Pleasant, WI 53406 Phone: 262-637-2470 | |
Taylour R Iding, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5340 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-638-1272 Fax: 262-638-1287 | |
Advanced Spine And Sport Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 6222 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-6418 Fax: 262-884-6489 | |
Dr. Joshua Vincent Egle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1103 Hunter Dr Ste 101, Mount Pleasant, WI 53406 Phone: 262-800-4440 Fax: 262-800-4434 | |
Extend Physical Therapy And Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1648 Kuiper Ln, Mount Pleasant, WI 53406 Phone: 262-902-7881 | |
Andrew James Hajduk, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5502 Washington Ave, Suite 500, Mount Pleasant, WI 53406 Phone: 262-637-2470 |