| Northwoods Physical Therapy Clinic & Fitness Center Inc | |
|
15537 W Hwy 77 East, Hayward, WI 54843 | |
| (715) 634-2165 | |
| (715) 634-1846 |
| Full Name | Northwoods Physical Therapy Clinic & Fitness Center Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 15537 W Hwy 77 East, Hayward, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043349566 | NPI | - | NPPES |
| W10003647 | Other | TRICARE REGION CLAIMS | |
| 650013194 | Other | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3070024 (Wisconsin) | Secondary |
| 225100000X | Physical Therapist | 3070-024 (Wisconsin) | Primary |
| Provider Name | Michael P Mccusker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386833051 PECOS PAC ID: 2961599550 Enrollment ID: I20071029000696 |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Physical Therapy Clinic & Fitness Center Inc P.o. Box 13018, Hayward, WI 54843 Ph: (715) 634-2165 | Northwoods Physical Therapy Clinic & Fitness Center Inc 15537 W Hwy 77 East, Hayward, WI 54843 Ph: (715) 634-2165 |
Matthew Flesher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11040 N State Rd 77, Hayward, WI 54843 Phone: 715-934-4321 | |
Alan L Bowman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10342 Dyno Dr, Suite 2, Hayward, WI 54843 Phone: 715-699-1371 Fax: 866-245-8064 | |
Kory Lutz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11040 N State Road 77, Hayward, WI 54843 Phone: 715-934-4321 | |
James L January, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15954 Rivers Edge Dr, Hayward, WI 54843 Phone: 715-387-5511 | |
Taylor Stark, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11040 N State Road 77, Hayward, WI 54843 Phone: 715-934-4232 | |
Dr. Beth A Clark, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 15735 W Us Highway 63, Hayward, WI 54843 Phone: 888-834-4551 Fax: 715-598-4881 |