| New Life Physical Therapy & Sports Medicine, Inc. | |
|
2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 | |
| (608) 742-9356 | |
| (608) 742-3958 |
| Full Name | New Life Physical Therapy & Sports Medicine, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2639 New Pinery Rd, Portage, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467499939 | NPI | - | NPPES |
| 40423100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Matthew J Vanderkooi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932180775 PECOS PAC ID: 3870576275 Enrollment ID: I20050209000790 |
| Provider Name | Bryan T Cummings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235192816 PECOS PAC ID: 2163467911 Enrollment ID: I20080126000048 |
| Provider Name | Kristina M Hellenbrand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134314552 PECOS PAC ID: 7113091448 Enrollment ID: I20080805000697 |
| Provider Name | John D Rugotzke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386806255 PECOS PAC ID: 8224184783 Enrollment ID: I20090924000427 |
| Provider Name | Mary Rose Strickland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376863324 PECOS PAC ID: 3577697119 Enrollment ID: I20100817001667 |
| Provider Name | Jordan C Hove |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518315290 PECOS PAC ID: 1355632928 Enrollment ID: I20160629001341 |
| Provider Name | Joseph A Schilz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174009120 PECOS PAC ID: 9234480393 Enrollment ID: I20210202002625 |
| Provider Name | Becki Jo Braund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164573101 PECOS PAC ID: 4587058565 Enrollment ID: I20220309000154 |
| Provider Name | Jaimee Davila |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649962861 PECOS PAC ID: 1355700329 Enrollment ID: I20230709000082 |
| Provider Name | Anthony Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134595317 PECOS PAC ID: 8325357965 Enrollment ID: I20240214002183 |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Physical Therapy & Sports Medicine, Inc. 2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 Ph: (608) 742-9356 | New Life Physical Therapy & Sports Medicine, Inc. 2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 Ph: (608) 742-9356 |
Elizabeth Sharron Reddeman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290 | |
Emily Lugo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2815 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290 | |
Kristin Vorpahl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 715 W Pleasant St, Portage, WI 53901 Phone: 608-745-5910 | |
Edward Rothbauer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd, Suite 2, Portage, WI 53901 Phone: 608-742-9356 Fax: 608-742-9358 | |
Mrs. Sue Lyn Condon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Suite 103, Portage, WI 53901 Phone: 608-745-6211 Fax: 608-745-6250 | |
Kristina Hellenbrand, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2639 New Pinery Road, Suite 2, Portage, WI 53901 Phone: 608-742-9356 Fax: 608-742-9358 | |
Dr. Tanya Lynne Schimek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Suite 103, Portage, WI 53901 Phone: 608-745-6290 Fax: 608-745-6250 |