| Michael Branda, PT | |
|
2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | |
| (262) 574-1100 | |
| (262) 574-5193 |
| Full Name | Michael Branda |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2835 N Grandview Blvd, Pewaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417306853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13477 (Wisconsin) | Primary |
| Provider Name | Wisconsin Orthopedic Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376883835 PECOS PAC ID: 4486891017 Enrollment ID: O20130520000018 |
| Provider Name | Athletic & Therapeutic Institute Of Milwaukee, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801907464 PECOS PAC ID: 2062469190 Enrollment ID: O20140616000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Branda, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Michael Branda, PT 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 Ph: (262) 574-1100 |
Kirkland Crossings Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Quinlan Dr, Pewaukee, WI 53072 Phone: 651-631-6570 | |
Meredith Lynn Deback-gast, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 | |
Alexander Daniel Zacharias, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2835 N Grandview Blvd Ste 100, Pewaukee, WI 53072 Phone: 262-574-1100 Fax: 262-574-5193 | |
Rebecca Jean Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 203 W Wisconsin Ave, Pewaukee, WI 53072 Phone: 262-408-8923 | |
Annika Claire Haley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057 | |
Heidi Laurel Lasnoski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1177 Quail Ct Ste 200, Pewaukee, WI 53072 Phone: 262-695-3057 Fax: 262-695-3063 | |
Alison E Hoff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072 Phone: 262-574-5185 Fax: 262-574-5193 |