| Shana Blackman, DPT | |
|
1139 S Sunnyslope Dr, Suite 203, Mount Pleasant, WI 53406-3998 | |
| (262) 321-0240 | |
| (262) 321-0242 |
| Full Name | Shana Blackman |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1139 S Sunnyslope Dr, Mount Pleasant, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891192647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11775-024 (Wisconsin) | Primary |
| Provider Name | Pt Plus Management Corp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1477798338 PECOS PAC ID: 9830255918 Enrollment ID: O20090226000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Shana Blackman, DPT 2560 N 81st St, Wauwatosa, WI 53213-1015 Ph: (414) 479-0776 | Shana Blackman, DPT 1139 S Sunnyslope Dr, Suite 203, Mount Pleasant, WI 53406-3998 Ph: (262) 321-0240 |
Cheryl Lasselle, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 N Fancher Rd, Mount Pleasant, WI 53406 Phone: 262-886-1956 | |
Taylour R Iding, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5340 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-638-1272 Fax: 262-638-1287 | |
Advanced Spine And Sport Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 6222 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-6418 Fax: 262-884-6489 | |
Dr. Joshua Vincent Egle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1103 Hunter Dr Ste 101, Mount Pleasant, WI 53406 Phone: 262-800-4440 Fax: 262-800-4434 | |
Extend Physical Therapy And Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1648 Kuiper Ln, Mount Pleasant, WI 53406 Phone: 262-902-7881 | |
Andrew James Hajduk, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5502 Washington Ave, Suite 500, Mount Pleasant, WI 53406 Phone: 262-637-2470 | |
Mr. Edward V Van Dewater, MPT CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6222 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-6418 Fax: 262-884-6489 |