| Michael Thomas Heiser, DPT | |
|
4655 N Port Washington Rd, Glendale, WI 53212-1004 | |
| (414) 332-7475 | |
| Not Available |
| Full Name | Michael Thomas Heiser |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4655 N Port Washington Rd, Glendale, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689304958 | NPI | - | NPPES |
| 1234560627 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15815-24 (Wisconsin) | Primary |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Provider Name | Lakeshore Medical Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Provider Name | Aurora Advanced Healthcare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Provider Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Thomas Heiser, DPT Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Michael Thomas Heiser, DPT 4655 N Port Washington Rd, Glendale, WI 53212-1004 Ph: (414) 332-7475 |
Active Care Rehab, S.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 W Coventry Ct, Suite 204, Glendale, WI 53217 Phone: 414-228-7900 Fax: 414-228-7901 | |
Alexandria Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5333 N Port Washington Rd Ste B, Glendale, WI 53217 Phone: 414-716-1770 Fax: 414-716-1772 | |
Ms. Michelle Wilson Schofield, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6700 N Port Washington Rd, Glendale, WI 53217 Phone: 414-351-8850 | |
Mrs. Christine Marie Powers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 475 W Riverwoods Pkwy, Glendale, WI 53212 Phone: 414-961-6880 Fax: 414-961-6739 | |
Danielle Van Dyck, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5150 N Port Washington Rd Ste 220, Glendale, WI 53217 Phone: 414-541-1118 | |
Ariana Glenetski, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5333 N Port Washington Rd Ste B, Glendale, WI 53217 Phone: 414-716-1770 Fax: 414-716-1772 | |
Mrs. Crystal M Toll, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4655 N Port Washington Rd Ste 350, Glendale, WI 53212 Phone: 414-332-7475 Fax: 414-332-7494 |