Mr Nathanael P Sorum, PT | |
20700 Watertown Rd Ste 100, Waukesha, WI 53186-1800 | |
(414) 540-8821 | |
(414) 892-5745 |
Full Name | Mr Nathanael P Sorum |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 20700 Watertown Rd Ste 100, Waukesha, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871881094 | NPI | - | NPPES |
11704-24 | Other | WI | DTP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11704-24 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pain Management And Treatment Center, S.c. | 2062315419 | 3 |
Provider Name | Pain Management & Treatment Center, S.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750412201 PECOS PAC ID: 2062315419 Enrollment ID: O20040202000063 |
Provider Name | Sport Clinic Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912918475 PECOS PAC ID: 0244285187 Enrollment ID: O20050314000970 |
Provider Name | Omni Family Medical Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558732339 PECOS PAC ID: 9830491893 Enrollment ID: O20160107001495 |
Provider Name | Providence Family Medical Clinic S.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861857542 PECOS PAC ID: 3173828142 Enrollment ID: O20160229002957 |
Mailing Address | Practice Location Address |
---|---|
Mr Nathanael P Sorum, PT 5055 S 84th St, Greendale, WI 53129-1006 Ph: (414) 429-3030 | Mr Nathanael P Sorum, PT 20700 Watertown Rd Ste 100, Waukesha, WI 53186-1800 Ph: (414) 540-8821 |
Emily Nicole Salske, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1805 Kensington Dr, Waukesha, WI 53188 Phone: 262-548-1457 | |
Marilynn Toepel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: S11w29667 Summit Ave, Waukesha, WI 53188 Phone: 262-565-6124 | |
Joanna Totten, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W239n1812 Rockwood Dr Ste 100, Prohealth Care Medical Associates Inc, Waukesha, WI 53188 Phone: 262-523-0310 Fax: 262-532-9587 | |
Ms. Erin E Doxtator, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Delafield St, Suite 120, Waukesha, WI 53188 Phone: 262-521-9762 Fax: 262-521-1091 | |
Jennifer Bultman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21075 Swenson Dr, Suite 600, Waukesha, WI 53186 Phone: 262-798-8646 Fax: 262-798-8640 | |
Greta Cordova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-1000 | |
Sixteenth Street Community Health Centers Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 E North St, Waukesha, WI 53188 Phone: 414-672-1353 |