| Orthopedic & Spine Therapy Of Waupaca Sc | |
|
E3277 Apple Tree Lane, Waupaca, WI 54981 | |
| (715) 256-0358 | |
| (715) 256-0393 |
| Full Name | Orthopedic & Spine Therapy Of Waupaca Sc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | E3277 Apple Tree Lane, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548298284 | NPI | - | NPPES |
| 41754700 | Medicaid | WI | |
| 128853 | Other | WI | HEALTH PARTNERS |
| 40426000 | Medicaid | WI | |
| 610109700 | Other | WI | US DEPARTMENT OF LABOR |
| 4136293001 | Other | WI | AMERICHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Wisconsin) | Primary |
| 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 | Joseph R Waller |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649225970 PECOS PAC ID: 8729099122 Enrollment ID: I20060524000119 |
| Provider Name | Rhonda L Yeska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861789018 PECOS PAC ID: 6901076181 Enrollment ID: I20110825000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic & Spine Therapy Of Waupaca Sc 4000 N. Providence Avenue, Appleton, WI 54913-8018 Ph: (920) 257-2000 | Orthopedic & Spine Therapy Of Waupaca Sc E3277 Apple Tree Lane, Waupaca, WI 54981 Ph: (715) 256-0358 |
Mr. Bruce Allen Pierson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1053 Fax: 715-258-1153 | |
Dean Jerome Sondrol, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 Grand Seasons Dr Ste 1, Waupaca, WI 54981 Phone: 715-942-2553 Fax: 715-258-1153 | |
Bonnie J Sperberg, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1226 Berlin St, Waupaca, WI 54981 Phone: 715-942-1422 | |
Mrs. Kasey Louise Tessar, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Churchill St, Waupaca, WI 54981 Phone: 715-258-8131 | |
Michael R. Koch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1948 Godfrey Dr, Waupaca, WI 54981 Phone: 715-340-5383 Fax: 715-258-7773 | |
Carissa Melk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1053 | |
Nicole Barton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Churchill St, Waupaca, WI 54981 Phone: 715-258-8131 |