Orthopedic & Spine Therapy Of Clintonville, Sc | |
114 E Green Tree Rd, Clintonville, WI 54929-1182 | |
(715) 823-3336 | |
(715) 823-3936 |
Full Name | Orthopedic & Spine Therapy Of Clintonville, Sc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 114 E Green Tree Rd, Clintonville, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528172988 | NPI | - | NPPES |
40419800 | Medicaid | WI | |
CH3959 | Other | WI | RAILROAD MEDICARE |
41746300 | Medicaid | WI | |
611271800 | Other | WI | US DEPARTMENT OF LABOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Paul S Barnett |
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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 |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225057912 PECOS PAC ID: 8628088549 Enrollment ID: I20060421000320 |
Provider Name | Jill I Timm |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649225970 PECOS PAC ID: 8729099122 Enrollment ID: I20060524000119 |
Provider Name | Jason Russell Roe |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376799254 PECOS PAC ID: 6507933819 Enrollment ID: I20080927000133 |
Provider Name | Leah K Smejkal |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255445680 PECOS PAC ID: 0446347496 Enrollment ID: I20100526000451 |
Provider Name | Rhonda L Yeska |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861789018 PECOS PAC ID: 6901076181 Enrollment ID: I20110825000299 |
Provider Name | Michael L Justman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912339862 PECOS PAC ID: 2264666387 Enrollment ID: I20131003000337 |
Provider Name | Matthew J Melotte |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528482684 PECOS PAC ID: 0143443176 Enrollment ID: I20140520002640 |
Provider Name | Alexander J Reget |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902354574 PECOS PAC ID: 3870881550 Enrollment ID: I20161012001966 |
Provider Name | Chase D Hanson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134672405 PECOS PAC ID: 4587952197 Enrollment ID: I20161014000980 |
Provider Name | Courtney M Linde |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225582554 PECOS PAC ID: 4789075623 Enrollment ID: I20220103000992 |
Mailing Address | Practice Location Address |
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Orthopedic & Spine Therapy Of Clintonville, Sc 1000 Midway Rd, Menasha, WI 54952-1014 Ph: (920) 257-2000 | Orthopedic & Spine Therapy Of Clintonville, Sc 114 E Green Tree Rd, Clintonville, WI 54929-1182 Ph: (715) 823-3336 |
Riley K Ballard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 370 S Main St, Clintonville, WI 54929 Phone: 715-526-7370 Fax: 715-526-7294 | |
Jodi A Boutott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 E Main St, Clintonville, WI 54929 Phone: 715-823-3135 Fax: 715-823-1313 | |
Erin Leanna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 E Main St, Clintonville, WI 54929 Phone: 715-823-3135 Fax: 715-823-1313 | |
Melanie Lynne Wilke, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 370 S Main St, Clintonville, WI 54929 Phone: 715-823-5159 | |
Kyla L Simons, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 370 S Main St, Clintonville, WI 54929 Phone: 920-531-2031 Fax: 920-531-2056 | |
Leah K. Smejkal, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 114 E. Greentree Road, Clintonville, WI 54929 Phone: 715-823-3336 Fax: 715-823-3936 |