Sport Clinic Physical Therapy Inc | |
8911 N Port Washington Rd, Sport Clinic Physical Therapy Inc, Bayside, WI 53217-1634 | |
(414) 351-5794 | |
(414) 351-2770 |
Full Name | Sport Clinic Physical Therapy Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 8911 N Port Washington Rd, Bayside, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912918475 | NPI | - | NPPES |
40424700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Sherese D Hildenbrand |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154314466 PECOS PAC ID: 0840286605 Enrollment ID: I20040427000467 |
Provider Name | John A Hendrickson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700897279 PECOS PAC ID: 0941269393 Enrollment ID: I20050315000367 |
Provider Name | Daniel C Oberneder |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740389469 PECOS PAC ID: 4183639933 Enrollment ID: I20060215000230 |
Provider Name | Ann V John |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285823161 PECOS PAC ID: 3577627579 Enrollment ID: I20090205000114 |
Provider Name | Melissa E B High |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811136740 PECOS PAC ID: 4284791799 Enrollment ID: I20090327000585 |
Provider Name | Nathanael P Sorum |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871881094 PECOS PAC ID: 0648435396 Enrollment ID: I20120629000549 |
Provider Name | Lindsey R Wolf |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740693365 PECOS PAC ID: 3779898028 Enrollment ID: I20150814013491 |
Provider Name | Ariel R Skavdahl |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821514605 PECOS PAC ID: 4981016045 Enrollment ID: I20201214001640 |
Provider Name | Brian T Bonk |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942848387 PECOS PAC ID: 3779918248 Enrollment ID: I20201223001432 |
Provider Name | Barbara U Rector |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962050054 PECOS PAC ID: 4486060621 Enrollment ID: I20210312000509 |
Provider Name | Ryan D Henke |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558956441 PECOS PAC ID: 0749677607 Enrollment ID: I20220422001024 |
Provider Name | Christine E Farrell |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1053503128 PECOS PAC ID: 7618352139 Enrollment ID: I20220920002606 |
Provider Name | Kristin B Williams |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1609802529 PECOS PAC ID: 0244236222 Enrollment ID: I20230314002419 |
Provider Name | Chelsea Stratton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467105841 PECOS PAC ID: 8426413378 Enrollment ID: I20230427001046 |
Provider Name | Carolyn Jansen |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1568907772 PECOS PAC ID: 7911366083 Enrollment ID: I20230707000704 |
Mailing Address | Practice Location Address |
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Sport Clinic Physical Therapy Inc 8911 N Port Washington Rd, Sport Clinic Physical Therapy Inc, Bayside, WI 53217-1634 Ph: (414) 351-5794 | Sport Clinic Physical Therapy Inc 8911 N Port Washington Rd, Sport Clinic Physical Therapy Inc, Bayside, WI 53217-1634 Ph: (414) 351-5794 |
Christopher Matthew Demarco, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Mrs. Jill Marie Repinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Deborah Jordan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 727 W Laramie Ln, Bayside, WI 53217 Phone: 414-444-4822 Fax: 414-444-4833 | |
Ashley Emery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Judy Atkins White, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
John A Hendrickson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Paul J Mansfield, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 |