Spencer Wall, DPT | |
813 N Mayfair Rd, Wauwatosa, WI 53226-4241 | |
(414) 522-9000 | |
(414) 522-9007 |
Full Name | Spencer Wall |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 813 N Mayfair Rd, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528636867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15450-24 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Team Rehabilitation Services Llc | 2264479518 | 529 |
Provider Name | Wisconsin Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518576164 PECOS PAC ID: 5193145290 Enrollment ID: O20201012000238 |
Provider Name | Team Rehabilitation Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144990490 PECOS PAC ID: 2264479518 Enrollment ID: O20211101000098 |
Mailing Address | Practice Location Address |
---|---|
Spencer Wall, DPT 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Spencer Wall, DPT 813 N Mayfair Rd, Wauwatosa, WI 53226-4241 Ph: (414) 522-9000 |
Michelle Keating, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7500 W North Ave, Wauwatosa, WI 53213 Phone: 414-258-6170 | |
Ms. Kathy Louise Shebesta, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2626 N 76th St, Suite 105, Wauwatosa, WI 53213 Phone: 414-774-7794 Fax: 414-607-3971 | |
Ms. Lauren Croal, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11904 W North Ave, Suite 100, Wauwatosa, WI 53226 Phone: 414-453-8616 Fax: 414-453-6150 | |
Dr. Eric King, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10930 W Potter Rd Ste C, Wauwatosa, WI 53226 Phone: 414-400-6556 Fax: 414-400-6557 | |
Stacey Sipiorski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2999 N Mayfair Rd, Suite 300, Wauwatosa, WI 53222 Phone: 414-479-3737 Fax: 414-479-3733 | |
Ms. Alyson Stearns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2999 N Mayfair Rd Ste 300, Wauwatosa, WI 53222 Phone: 414-479-3737 | |
Linda Snyder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2999 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-479-1945 |