Mr Steve James Vandenberg, MPT | |
213016 Legion Street, Stratford, WI 54484-5028 | |
(800) 974-4378 | |
(630) 515-1536 |
Full Name | Mr Steve James Vandenberg |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 213016 Legion Street, Stratford, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649221524 | NPI | - | NPPES |
41660 | Other | WI | SECURITY HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5848024 (Wisconsin) | Primary |
Provider Name | Dpt Holdings Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20100708000581 |
Mailing Address | Practice Location Address |
---|---|
Mr Steve James Vandenberg, MPT 24014 W Renwick Rd Ste F, Plainfield, IL 60544-8708 Ph: (800) 974-4378 | Mr Steve James Vandenberg, MPT 213016 Legion Street, Stratford, WI 54484-5028 Ph: (800) 974-4378 |
John R Brushert, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 213016 Legion Street, Stratford, WI 54484 Phone: 800-974-4378 Fax: 630-515-1536 | |
Janice Lorraine Devine-ruggles, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 N. 2nd Avenue, Stratford, WI 54484 Phone: 715-687-2214 Fax: 715-687-4716 | |
Sport & Spine Clinic L.p. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 213016 Legion St, Stratford, WI 54484 Phone: 715-687-2214 Fax: 715-687-4716 | |
Stratford Therapy Services, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 N. 2nd Ave., Stratford, WI 54484 Phone: 715-687-2214 Fax: 715-687-4716 |