Andrew E Gottheardt, OT | |
15312 W Beloit Rd, New Berlin, WI 53151-7447 | |
(262) 641-5117 | |
(262) 641-6317 |
Full Name | Andrew E Gottheardt |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 15312 W Beloit Rd, New Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245458918 | NPI | - | NPPES |
1056173 | Other | OTR | |
4342-26 | Other | WI | LICENSE O.T. |
41047700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4342-26 (Wisconsin) | Primary |
Provider Name | Athletic & Therapeutic Institute Of Milwaukee, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801907464 PECOS PAC ID: 2062469190 Enrollment ID: O20140616000469 |
Mailing Address | Practice Location Address |
---|---|
Andrew E Gottheardt, OT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Andrew E Gottheardt, OT 15312 W Beloit Rd, New Berlin, WI 53151-7447 Ph: (262) 641-5117 |
Mrs. Abigail J Simonson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2725 S Moorland Rd., Suite 301, New Berlin, WI 53151 Phone: 414-329-2428 | |
Abby R Huffman, MS-OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2895 S Moorland Rd, New Berlin, WI 53151 Phone: 262-782-9015 | |
Karlan Alexandre Welstead, M.S., OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15350 W National Ave, New Berlin, WI 53151 Phone: 126-222-7854 | |
Bridget Quast, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2725 S Moorland Rd Ste 301, New Berlin, WI 53151 Phone: 757-582-3831 | |
Mrs. Jean Elisabeth Splitgerber, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2895 S Moorland Rd, New Berlin, WI 53151 Phone: 262-782-9015 | |
Mrs. Cammie Nicole Hronek, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2895 S Moorland Rd, New Berlin, WI 53151 Phone: 262-782-9015 | |
Jamie Schaap Giwa, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2725 S Moorland Rd, 301, New Berlin, WI 53151 Phone: 414-329-2500 Fax: 414-327-5411 |