| Fastback Physical Therapy Llc | |
|
3333 S Sunnyslope Rd Ste 103b, New Berlin, WI 53151-4504 | |
| (262) 853-8452 | |
| Not Available |
| Full Name | Fastback Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3333 S Sunnyslope Rd Ste 103b, New Berlin, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104393982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Patrick S Barron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326071200 PECOS PAC ID: 2567621360 Enrollment ID: I20120314000748 |
| Provider Name | Samual T Marusic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881205854 PECOS PAC ID: 1850710328 Enrollment ID: I20201001003296 |
| Provider Name | Ashley Ziegler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972200186 PECOS PAC ID: 1153780366 Enrollment ID: I20230706002763 |
| Provider Name | Angela Giangiulio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386212447 PECOS PAC ID: 5799147823 Enrollment ID: I20230821004043 |
| Provider Name | Alexandria Dollhopf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932884277 PECOS PAC ID: 0345684338 Enrollment ID: I20240217000842 |
| Mailing Address | Practice Location Address |
|---|---|
| Fastback Physical Therapy Llc 1773 Star Batt Dr, Rochester Hills, MI 48309-3708 Ph: () - | Fastback Physical Therapy Llc 3333 S Sunnyslope Rd Ste 103b, New Berlin, WI 53151-4504 Ph: (262) 853-8452 |
Scott D Brau, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15175 W National Ave, New Berlin, WI 53151 Phone: 262-649-2135 Fax: 262-229-8716 | |
Joseph Ogden, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15175 W National Ave, New Berlin, WI 53151 Phone: 262-649-2135 Fax: 262-229-8716 | |
Kristin Grace Heinz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15312 W Beloit Rd, New Berlin, WI 53151 Phone: 262-641-5771 | |
Mr. Susan Schober Kinosian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2895 S Moorland Rd, New Berlin, WI 53151 Phone: 262-782-9015 Fax: 262-782-9013 | |
Mara M. Spencer, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14555 W National Ave, Ste. 135, New Berlin, WI 53151 Phone: 262-827-3180 Fax: 262-827-3180 | |
David Campbell Raupp, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15465 W Howard Ave, New Berlin, WI 53151 Phone: 262-786-4422 | |
Ms. Lisa M Hollman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4805 S Moorland Rd, New Berlin, WI 53151 Phone: 262-798-7200 Fax: 262-798-7201 |