Orthopedic & Spine Therapy Of New London, Sc | |
1620 N Shawano St, New London, WI 54961-9368 | |
(920) 982-3670 | |
(920) 982-4273 |
Full Name | Orthopedic & Spine Therapy Of New London, Sc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1620 N Shawano St, New London, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437187135 | NPI | - | NPPES |
40419300 | Medicaid | WI | |
41745700 | Medicaid | WI | |
128857 | Other | WI | HEALTH PARTNERS |
CH3635 | Other | WI | RAILROAD MEDICARE |
2133174001 | Other | WI | AMERICHOICE |
611271700 | Other | WI | US DEPARTMENT OF LABOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Wisconsin) | 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 | Joseph R Waller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689618852 PECOS PAC ID: 2264476621 Enrollment ID: I20050616000148 |
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 | 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 | John G Hartenberger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922343201 PECOS PAC ID: 6507002920 Enrollment ID: I20130409000404 |
Provider Name | Molly R Gill |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831692219 PECOS PAC ID: 7618230996 Enrollment ID: I20180419001689 |
Provider Name | Kimberley R Kessenich |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851884340 PECOS PAC ID: 0143576272 Enrollment ID: I20180703001969 |
Provider Name | Alex J Conway |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336625797 PECOS PAC ID: 0446583041 Enrollment ID: I20190613002837 |
Provider Name | Malory Zoglman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811507197 PECOS PAC ID: 7719306406 Enrollment ID: I20200930000003 |
Provider Name | Jill Mary Vandeloo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285993626 PECOS PAC ID: 2365608676 Enrollment ID: I20201209001794 |
Provider Name | Brianne M Williams |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467903849 PECOS PAC ID: 2466866124 Enrollment ID: I20210121000707 |
Provider Name | Andrew James Keal |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245837665 PECOS PAC ID: 8820408800 Enrollment ID: I20211105000010 |
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 |
Provider Name | Katelyn M Basden |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326809146 PECOS PAC ID: 4284070731 Enrollment ID: I20240307000746 |
Mailing Address | Practice Location Address |
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Orthopedic & Spine Therapy Of New London, Sc 4000 N. Providence Avenue, Appleton, WI 54913-8018 Ph: (920) 257-2000 | Orthopedic & Spine Therapy Of New London, Sc 1620 N Shawano St, New London, WI 54961-9368 Ph: (920) 982-3670 |
Courtney Nicole Garcia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 | |
Ms. Julie Ziegler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098 | |
Katelyn M Basden, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 315 Burton Rd Ste 107, New London, WI 54961 Phone: 920-982-3670 | |
N.e.w. Rehab Company Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 Smith St, New London, WI 54961 Phone: 920-982-5440 | |
Susan Heidmann Obertin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098 | |
Legacy Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 Caroline Dr, New London, WI 54961 Phone: 414-940-2978 |