| Temple Ergonomics Home Physical Therapy Llc | |
|
4835 N Cherryvale Ave, Appleton, WI 54913-9383 | |
| (920) 427-0350 | |
| Not Available |
| Full Name | Temple Ergonomics Home Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4835 N Cherryvale Ave, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548375140 | NPI | - | NPPES |
| WI1702001 | Other | WI | MEDICARE INDIVIDUAL PTAN |
| WI1702 | Other | WI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9723-024 (Wisconsin) | Primary |
| Provider Name | Gerald Ted Tate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396747010 PECOS PAC ID: 0042209058 Enrollment ID: I20040506000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Ergonomics Home Physical Therapy Llc 4835 N Cherryvale Ave, Appleton, WI 54913-9383 Ph: (920) 427-0350 | Temple Ergonomics Home Physical Therapy Llc 4835 N Cherryvale Ave, Appleton, WI 54913-9383 Ph: (920) 427-0350 |
Orthopedic & Spine Therapy Of Menasha Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 N Providence Ave, Appleton, WI 54913 Phone: 920-257-2000 | |
Ms. Jennifer Lynn Nevinski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N496 Milky Way, Appleton, WI 54915 Phone: 920-738-2960 | |
Chandler Riem, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2105 N Enterprise Ave, Appleton, WI 54913 Phone: 920-560-1000 | |
Kathleen M. Vandrunen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2915 N Meade St, Appleton, WI 54911 Phone: 920-831-8711 | |
Mrs. Lisa Katherine Buehler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3375 W Brewster St, Appleton, WI 54914 Phone: 920-749-5870 | |
David Michael Denell, MPT LAT/C Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101 | |
Richelle Ag Fenter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 S Kensington Drive, Appleton, WI 54915 Phone: 920-738-0200 Fax: 920-738-0383 |