| Dr Nicole Anne Parulski, DPT | |
|
1475 W Grand Ave, Port Washington, WI 53074-2074 | |
| (262) 268-5100 | |
| Not Available |
| Full Name | Dr Nicole Anne Parulski |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1475 W Grand Ave, Port Washington, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679814537 | NPI | - | NPPES |
| 100028525 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12252-24 (Wisconsin) | Primary |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Provider Name | Lakeshore Medical Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Provider Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole Anne Parulski, DPT Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Nicole Anne Parulski, DPT 1475 W Grand Ave, Port Washington, WI 53074-2074 Ph: (262) 268-5100 |
Sheri L Bunyan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1119 N Wisconsin St, Port Washington, WI 53074 Phone: 262-284-5892 | |
Brianna Rae Zimmerman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1119 N Wisconsin St, Port Washington, WI 53074 Phone: 262-284-5892 | |
Maja Kern, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 | |
David Arthur Peterson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-2261 | |
Breanne N Beres, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 | |
Mrs. Kimberly Burns Klug, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Lake Hills Medical Complex, Port Washington, WI 53074 Phone: 262-284-2261 | |
Mr. Anthony Jack Ettmayer Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1119 N Wisconsin St, Port Washington, WI 53074 Phone: 262-284-5892 |