Karen Cole Gottschalk, PT | |
7610 Pershing Blvd, Kenosha, WI 53142-4318 | |
(262) 948-3600 | |
Not Available |
Full Name | Karen Cole Gottschalk |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 7610 Pershing Blvd, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316166606 | NPI | - | NPPES |
100140484 | Medicaid | WI | |
14864-24 | Other | WI | WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 148464-24 (Wisconsin) | Primary |
Provider Name | Lightning Mobility Evaluations, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740756436 PECOS PAC ID: 7214275221 Enrollment ID: O20201030000089 |
Mailing Address | Practice Location Address |
---|---|
Karen Cole Gottschalk, PT Po Box 735041, Chicago, IL 60673-5041 Ph: (800) 326-2250 | Karen Cole Gottschalk, PT 7610 Pershing Blvd, Kenosha, WI 53142-4318 Ph: (262) 948-3600 |
Lindsay B.n. Laubmeier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave, Suite 103, Kenosha, WI 53144 Phone: 262-657-7071 Fax: 262-657-0632 | |
Mrs. Sherry M Clifton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1218 79th St, Kenosha, WI 53143 Phone: 262-658-9500 | |
Jeffrey S Serchen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7540 22nd Ave, Kenosha, WI 53143 Phone: 262-656-7800 | |
Morgan P Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave Ste 103, Kenosha, WI 53144 Phone: 262-657-7071 | |
Kenosha Achievement Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1218 79th St, Kenosha, WI 53143 Phone: 262-658-9500 Fax: 262-658-9621 | |
Tyler Raymaker, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3701 80th St, Kenosha, WI 53142 Phone: 262-697-1730 | |
Erika M Kurzac, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3535 30th Ave Ste 101, Kenosha, WI 53144 Phone: 262-657-7071 |