| Center For Muscle & Joint Therapy Inc | |
|
823 Belknap St, Suite 104, Superior, WI 54880-2960 | |
| (715) 394-6355 | |
| (715) 394-2191 |
| Full Name | Center For Muscle & Joint Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 823 Belknap St, Superior, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558462432 | NPI | - | NPPES |
| 64-23290 | Other | MN | MEDICA |
| 40192300 | Medicaid | WI | |
| 8402385 | Other | WI | CIGNA |
| 1B411CE | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4148024 (Wisconsin) | Primary |
| 225100000X | Physical Therapist | 4361 (Minnesota) | Secondary |
| Provider Name | Lindi M Schlotthauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730308008 PECOS PAC ID: 7012015282 Enrollment ID: I20070612000319 |
| Provider Name | James G Rauzi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639115686 PECOS PAC ID: 4587756879 Enrollment ID: I20070816000169 |
| Provider Name | Jane E Worley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952588659 PECOS PAC ID: 0941360085 Enrollment ID: I20130820000723 |
| Provider Name | Chad Martin Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881692523 PECOS PAC ID: 8123004090 Enrollment ID: I20170524000778 |
| Provider Name | Kyle N Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841963998 PECOS PAC ID: 1052717865 Enrollment ID: I20210902001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Muscle & Joint Therapy Inc 823 Belknap St, Suite 104, Superior, WI 54880-2960 Ph: (715) 394-6355 | Center For Muscle & Joint Therapy Inc 823 Belknap St, Suite 104, Superior, WI 54880-2960 Ph: (715) 394-6355 |
Mr. Gregory Stephan Vergamini, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 | |
Megan E. Liebaert, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5400 | |
Dawn Moulton, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 N 25th St E, Superior, WI 54880 Phone: 763-689-5385 | |
Louanna Gayle C. Marohombsar, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1915 N 34th St, Superior, WI 54880 Phone: 715-399-3287 | |
Barbara Rose Ann Wessberg, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 218-395-5454 | |
Dr. Bobbi Marie-ann Huotari, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 New York Ave, Superior, WI 54880 Phone: 715-394-5591 | |
Dale Robert Whitby, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 |