| Sports Physical Therapists Of Cudahy Llc | |
|
3503 E Layton Ave, Ste 100, Cudahy, WI 53110-1408 | |
| (262) 925-5000 | |
| (262) 925-5001 |
| Full Name | Sports Physical Therapists Of Cudahy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3503 E Layton Ave, Cudahy, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679014120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Elizabeth J. Zierke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801175971 PECOS PAC ID: 4688846249 Enrollment ID: I20111004000694 |
| Provider Name | Jenna M Schlicht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144639683 PECOS PAC ID: 3375761216 Enrollment ID: I20140905001625 |
| Provider Name | Benjamin R Pape |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467838219 PECOS PAC ID: 4587979919 Enrollment ID: I20150813012521 |
| Provider Name | Gina Landry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083168033 PECOS PAC ID: 3971849639 Enrollment ID: I20190117000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Physical Therapists Of Cudahy Llc 3921 30th Ave Ste C, Kenosha, WI 53144-1957 Ph: (262) 925-5004 | Sports Physical Therapists Of Cudahy Llc 3503 E Layton Ave, Ste 100, Cudahy, WI 53110-1408 Ph: (262) 925-5000 |
Gina Landry, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3503 E. Layton Ave, Suite 100, Cudahy, WI 53110 Phone: 414-489-0270 | |
Ally Marthaler-gerads, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-4702 | |
Jenna M Schlicht, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3503 E. Layton Ave, Ste 100, Cudahy, WI 53110 Phone: 414-489-0270 Fax: 414-489-0356 | |
Benjamin Pape, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3503 E Layton Ave Ste 100, Cudahy, WI 53110 Phone: 414-489-0270 Fax: 414-489-0356 | |
Dr. Sara Ann Thomas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6000 S Buckhorn Ave, Unit 103, Cudahy, WI 53110 Phone: 608-412-2843 | |
Dr. Hilary Korb, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-4072 Fax: 414-489-4074 |