| Gerad Donahue, DPT | |
|
5000 W Champion Dr Ste 113, Grand Chute, WI 54913-5000 | |
| (920) 560-1123 | |
| (920) 202-3535 |
| Full Name | Gerad Donahue |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5000 W Champion Dr Ste 113, Grand Chute, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013398510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13601-24 (Wisconsin) | Primary |
| Provider Name | Advanced Physical Therapy & Sports Medicine Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407857790 PECOS PAC ID: 2365432903 Enrollment ID: O20040514001027 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerad Donahue, DPT 2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 Ph: (920) 991-2561 | Gerad Donahue, DPT 5000 W Champion Dr Ste 113, Grand Chute, WI 54913-5000 Ph: (920) 560-1123 |
Kyle S Schumacher, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5000 W Champion Dr, Grand Chute, WI 54913 Phone: 920-560-1123 | |
Advanced Physical Therapy & Sports Medicine Sc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5000 W Champion Dr, Grand Chute, WI 54913 Phone: 920-560-1123 Fax: 920-202-3535 | |
Abigail Schreiber, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3750 Investors Ct, Grand Chute, WI 54913 Phone: 920-496-4700 | |
Adam J Kienert, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5000 W Champion Dr Ste 110, Grand Chute, WI 54913 Phone: 920-560-1123 |