| Capitol Physical Therapy Specialists Llc | |
|
416 E Verona Ave, Verona, WI 53593-1227 | |
| (608) 848-6628 | |
| Not Available |
| Full Name | Capitol Physical Therapy Specialists Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 416 E Verona Ave, Verona, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184286932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Julie M Lombardo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558447078 PECOS PAC ID: 0042290538 Enrollment ID: I20040727000062 |
| Provider Name | Garett F Rogstad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356536304 PECOS PAC ID: 0345323531 Enrollment ID: I20090319000595 |
| Provider Name | Sarah M Stineman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649683384 PECOS PAC ID: 0840503777 Enrollment ID: I20150721001005 |
| Provider Name | Christopher Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972760551 PECOS PAC ID: 5395020218 Enrollment ID: I20170315002423 |
| Provider Name | Jessica M Hopp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881816056 PECOS PAC ID: 2163797838 Enrollment ID: I20171005001036 |
| Provider Name | Jordan L Mortensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447770664 PECOS PAC ID: 4486929940 Enrollment ID: I20171009003527 |
| Provider Name | Rachel M Wetter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053747899 PECOS PAC ID: 7618103557 Enrollment ID: I20180613002627 |
| Provider Name | Tyler S Harrington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508346164 PECOS PAC ID: 3274885496 Enrollment ID: I20181016001454 |
| Provider Name | Stephanie C Greer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346793064 PECOS PAC ID: 3678868114 Enrollment ID: I20181017002815 |
| Provider Name | Tyrone Reynolds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205440070 PECOS PAC ID: 0143636316 Enrollment ID: I20210312001622 |
| Provider Name | Ryan Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629529623 PECOS PAC ID: 3577979673 Enrollment ID: I20210316001645 |
| Provider Name | Julia Stathas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437727047 PECOS PAC ID: 6608277439 Enrollment ID: I20210630001188 |
| Provider Name | Samuel Blum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760055081 PECOS PAC ID: 7719381144 Enrollment ID: I20210809000102 |
| Provider Name | Julianne Meihua Harari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154702108 PECOS PAC ID: 1456757426 Enrollment ID: I20210831002544 |
| Provider Name | Jacob David Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619647062 PECOS PAC ID: 2264830736 Enrollment ID: I20211013003338 |
| Provider Name | Meagan Barker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104597236 PECOS PAC ID: 6002204104 Enrollment ID: I20211021002745 |
| Provider Name | Jane Graham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659043107 PECOS PAC ID: 5496144040 Enrollment ID: I20211119001581 |
| Provider Name | Nicole Ashley Van Beek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770195174 PECOS PAC ID: 5193116440 Enrollment ID: I20211222000977 |
| Provider Name | Ellen E Baily |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134875032 PECOS PAC ID: 3274928338 Enrollment ID: I20220328001752 |
| Provider Name | Kathleen M Hartman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972102937 PECOS PAC ID: 8325421613 Enrollment ID: I20220819000326 |
| Provider Name | Joyce Mier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851010078 PECOS PAC ID: 4587048855 Enrollment ID: I20220906001188 |
| Provider Name | Heidi L Mancusi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003833823 PECOS PAC ID: 0042694259 Enrollment ID: I20220907000194 |
| Provider Name | Merritt Yandell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942323035 PECOS PAC ID: 2163690546 Enrollment ID: I20230202002778 |
| Provider Name | Madeleine Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922704550 PECOS PAC ID: 5092188094 Enrollment ID: I20230222000301 |
| Provider Name | Garrett K Minor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265132419 PECOS PAC ID: 4183098775 Enrollment ID: I20230322001306 |
| Provider Name | Douglas Butikofer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588705313 PECOS PAC ID: 9436315025 Enrollment ID: I20230405001422 |
| Provider Name | Miranda Thill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093408023 PECOS PAC ID: 4183082647 Enrollment ID: I20230615002630 |
| Provider Name | Morgaine Reinl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639862485 PECOS PAC ID: 4082072798 Enrollment ID: I20230627002674 |
| Provider Name | Cory Statler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174230197 PECOS PAC ID: 0840654950 Enrollment ID: I20230907003416 |
| Provider Name | Nicole Chladek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942980065 PECOS PAC ID: 0345698098 Enrollment ID: I20231120000583 |
| Provider Name | Benjamin Percy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699511444 PECOS PAC ID: 4789129537 Enrollment ID: I20240716004332 |
| Provider Name | Grant Luecke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427895754 PECOS PAC ID: 3476099482 Enrollment ID: I20240726000966 |
| Provider Name | Lucas Lippert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023787256 PECOS PAC ID: 8224567276 Enrollment ID: I20250121002671 |
| Provider Name | Maxim Kleinschmit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073310819 PECOS PAC ID: 4082135009 Enrollment ID: I20250306002862 |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Physical Therapy Specialists Llc 416 E Verona Ave, Verona, WI 53593-1227 Ph: (608) 848-6628 | Capitol Physical Therapy Specialists Llc 416 E Verona Ave, Verona, WI 53593-1227 Ph: (608) 848-6628 |