Suzanne Katherine Smalley, MPT | |
2817 New Pinery Rd, Portage, WI 53901-9240 | |
(608) 742-4131 | |
Not Available |
Full Name | Suzanne Katherine Smalley |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 2817 New Pinery Rd, Portage, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740247592 | NPI | - | NPPES |
40377100 | Medicaid | WI | |
4846683 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9832-24 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Divine Savior Healthcare Inc | 5799684007 | 76 |
Provider Name | Divine Savior Healthcare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
Mailing Address | Practice Location Address |
---|---|
Suzanne Katherine Smalley, MPT 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 742-4131 | Suzanne Katherine Smalley, MPT 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 742-4131 |
Elizabeth Sharron Reddeman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290 | |
Emily Lugo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2815 New Pinery Rd, Portage, WI 53901 Phone: 608-745-6290 | |
Kristin Vorpahl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 715 W Pleasant St, Portage, WI 53901 Phone: 608-745-5910 | |
Edward Rothbauer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd, Suite 2, Portage, WI 53901 Phone: 608-742-9356 Fax: 608-742-9358 | |
Mrs. Sue Lyn Condon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Suite 103, Portage, WI 53901 Phone: 608-745-6211 Fax: 608-745-6250 | |
Kristina Hellenbrand, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2639 New Pinery Road, Suite 2, Portage, WI 53901 Phone: 608-742-9356 Fax: 608-742-9358 | |
Dr. Tanya Lynne Schimek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Suite 103, Portage, WI 53901 Phone: 608-745-6290 Fax: 608-745-6250 |