| Ekaterina V Eisfeldt, PTA | |
|
8911 N Port Washington Rd, Bayside, WI 53217-1634 | |
| (414) 351-5794 | |
| (414) 351-2770 |
| Full Name | Ekaterina V Eisfeldt |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 8911 N Port Washington Rd, Bayside, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790110120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14499-24 (Wisconsin) | Primary |
| Provider Name | Lake Terrace Nursing And Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053803031 PECOS PAC ID: 0446509681 Enrollment ID: O20220314001558 |
| Provider Name | Empowerme Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134844848 PECOS PAC ID: 2769723162 Enrollment ID: O20230503002799 |
| Mailing Address | Practice Location Address |
|---|---|
| Ekaterina V Eisfeldt, PTA 8911 N Port Washington Rd, Bayside, WI 53217-1634 Ph: (414) 351-5794 | Ekaterina V Eisfeldt, PTA 8911 N Port Washington Rd, Bayside, WI 53217-1634 Ph: (414) 351-5794 |
Christopher Matthew Demarco, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Mrs. Jill Marie Repinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Deborah Jordan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 727 W Laramie Ln, Bayside, WI 53217 Phone: 414-444-4822 Fax: 414-444-4833 | |
Ashley Emery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Judy Atkins White, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
John A Hendrickson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 | |
Paul J Mansfield, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217 Phone: 414-351-5794 Fax: 414-351-2770 |