| Jack Heinrich, PT, DPT, CSCS | |
|
10930 W Potter Rd Ste C, Wauwatosa, WI 53226-3450 | |
| (414) 400-6556 | |
| (414) 400-6557 |
| Full Name | Jack Heinrich |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 10930 W Potter Rd Ste C, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942994256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 16297-24 (Wisconsin) | Primary |
| Provider Name | Aretas01 Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801583224 PECOS PAC ID: 0244699460 Enrollment ID: O20230706002806 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Heinrich, PT, DPT, CSCS 10930 W Potter Rd Ste C, Wauwatosa, WI 53226-3450 Ph: (414) 400-6556 | Jack Heinrich, PT, DPT, CSCS 10930 W Potter Rd Ste C, Wauwatosa, WI 53226-3450 Ph: (414) 400-6556 |
Michelle Keating, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7500 W North Ave, Wauwatosa, WI 53213 Phone: 414-258-6170 | |
Ms. Kathy Louise Shebesta, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2626 N 76th St, Suite 105, Wauwatosa, WI 53213 Phone: 414-774-7794 Fax: 414-607-3971 | |
Ms. Lauren Croal, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11904 W North Ave, Suite 100, Wauwatosa, WI 53226 Phone: 414-453-8616 Fax: 414-453-6150 | |
Dr. Eric King, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10930 W Potter Rd Ste C, Wauwatosa, WI 53226 Phone: 414-400-6556 Fax: 414-400-6557 | |
Stacey Sipiorski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2999 N Mayfair Rd, Suite 300, Wauwatosa, WI 53222 Phone: 414-479-3737 Fax: 414-479-3733 | |
Ms. Alyson Stearns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2999 N Mayfair Rd Ste 300, Wauwatosa, WI 53222 Phone: 414-479-3737 | |
Vesta Therapy & Consulting, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6317 W Lloyd St, Wauwatosa, WI 53213 Phone: 414-460-3831 Fax: 866-305-4762 |