| Carla Correa, OTR | |
|
6109 Braun Rd, Mount Pleasant, WI 53403-9409 | |
| (262) 977-6726 | |
| Not Available |
| Full Name | Carla Correa |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 10 Years |
| Location | 6109 Braun Rd, Mount Pleasant, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558729269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.011329 (Illinois) | Secondary |
| 225X00000X | Occupational Therapist | 5819-26 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sundance Rehabilitation Llc | 7911815329 | 17 |
| Provider Name | Paxxon Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750 |
| Provider Name | Sundance Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073912119 PECOS PAC ID: 7911815329 Enrollment ID: O20140917001161 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Correa, OTR 6343 47th Ave, Kenosha, WI 53142-3109 Ph: (262) 331-4239 | Carla Correa, OTR 6109 Braun Rd, Mount Pleasant, WI 53403-9409 Ph: (262) 977-6726 |
Ruth Chiapetta Kulbacki, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2944 Salem Cir, Mount Pleasant, WI 53406 Phone: 262-633-4706 Fax: 262-633-4706 | |
Miss Marisa Capobianco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1320 S Green Bay Rd # 3700, Mount Pleasant, WI 53406 Phone: 262-886-3431 | |
Jennifer L Barbian, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7300 Washington Ave, Ste B, Mount Pleasant, WI 53406 Phone: 262-321-6000 | |
Mrs. Deanna Marie Carr, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6233 Durand Ave Ste 102-3, Mount Pleasant, WI 53406 Phone: 262-497-7270 Fax: 262-456-2387 | |
Zola Sloth, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13203 Globe Dr Ste 111, Mount Pleasant, WI 53177 Phone: 262-287-0090 | |
Payal Patel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4930 Saint Regis Dr, Mount Pleasant, WI 53403 Phone: 262-994-2618 | |
Tory Gabrielle Houdek, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13203 Globe Dr Ste 111, Mount Pleasant, WI 53177 Phone: 262-287-0090 |