| Jordan Jensen, | |
|
3117 Shore Dr, Marinette, WI 54143-4293 | |
| (715) 732-5111 | |
| Not Available |
| Full Name | Jordan Jensen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3117 Shore Dr, Marinette, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497447171 | NPI | - | NPPES |
| 100320956 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 17129 (Wisconsin) | Primary |
| Provider Name | Elevate Colorado Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1407287717 PECOS PAC ID: 4284867714 Enrollment ID: O20140507001022 |
| Provider Name | Orthopedic Centers Of Colorado Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801339502 PECOS PAC ID: 2365714540 Enrollment ID: O20170823001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Jensen, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Jordan Jensen, 3117 Shore Dr, Marinette, WI 54143-4293 Ph: (715) 732-5111 |
Lucas D Gauthier, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1931 Marinette Ave, Marinette, WI 54143 Phone: 715-735-5500 Fax: 715-735-5502 | |
Heidi Kathryn Bergman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3117 Shore Dr Ste 101, Marinette, WI 54143 Phone: 715-732-5111 Fax: 715-732-8220 | |
Page Lewandowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Hall Ave Ste B, Marinette, WI 54143 Phone: 715-732-7700 | |
Mr. Jason K Koenigs, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1931 Marinette Ave, Marinette, WI 54143 Phone: 715-735-5500 | |
Tadeusz Filon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N3027 Woodland Rd, Marinette, WI 54143 Phone: 715-732-9476 | |
The Wellness Clinic Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1281 Marinette Ave, Marinette, WI 54143 Phone: 715-735-5500 Fax: 715-735-5502 | |
Brian L Peterson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2820 Roosevelt Rd, Marinette, WI 54143 Phone: 715-735-5225 Fax: 715-732-5388 |