| Orthopedic & Spine Therapy Of Brillion, Sc | |
|
205 Maritime Dr, Manitowoc, WI 54220-6826 | |
| (920) 482-1516 | |
| (920) 482-1581 |
| Full Name | Orthopedic & Spine Therapy Of Brillion, Sc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 205 Maritime Dr, Manitowoc, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154368843 | NPI | - | NPPES |
| 5833250001 | Other | WI | MEDICARE DME |
| 41756800 | Medicaid | WI | |
| 40427800 | Medicaid | WI | |
| 128870 | Other | WI | HEALTH PARTNERS |
| 2133139002 | Other | WI | AMERICHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jill S Keil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558474494 PECOS PAC ID: 4486642659 Enrollment ID: I20040505000846 |
| Provider Name | Paul S Barnett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154368777 PECOS PAC ID: 6901701655 Enrollment ID: I20041026001048 |
| Provider Name | Jerome Gerard Charles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225057912 PECOS PAC ID: 8628088549 Enrollment ID: I20060421000320 |
| Provider Name | Lisa A. Vivian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285940098 PECOS PAC ID: 6800083007 Enrollment ID: I20101214001108 |
| Provider Name | Alex C Minten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477800423 PECOS PAC ID: 1658520358 Enrollment ID: I20121012000010 |
| Provider Name | Gregory J Mishica |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922545250 PECOS PAC ID: 0547659435 Enrollment ID: I20211115002543 |
| Provider Name | Courtney M Linde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225582554 PECOS PAC ID: 4789075623 Enrollment ID: I20220103000992 |
| Provider Name | Anna Louise Pupeter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982396057 PECOS PAC ID: 1850759895 Enrollment ID: I20230622002796 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic & Spine Therapy Of Brillion, Sc 4000 N. Providence Avenue, Appleton, WI 54913-8018 Ph: (920) 257-2000 | Orthopedic & Spine Therapy Of Brillion, Sc 205 Maritime Dr, Manitowoc, WI 54220-6826 Ph: (920) 482-1516 |
Jessica L Chouinard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-8667 Fax: 920-320-8616 | |
Rachel R Fischer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3415 Custer St Ste D, Manitowoc, WI 54220 Phone: 920-652-9310 Fax: 920-652-9316 | |
Ms. Katherine Ann Pohlmann, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2262 Knuell St, Manitowoc, WI 54220 Phone: 920-652-0930 | |
Nicole Drew, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-3100 Fax: 920-320-5114 | |
Mr. Adam B Klarkowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1212 Memorial Dr, Ste 1, Manitowoc, WI 54220 Phone: 920-652-9554 Fax: 920-652-9556 | |
Damon J Banks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 960 S Rapids Rd, Manitowoc, WI 54220 Phone: 920-684-1144 | |
Kelsey Hoffman, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-3100 Fax: 920-684-3194 |