Mr Joselito Jimenez Bongco, PT - Physical Therapist in Wausau, WI

Mr Joselito Jimenez Bongco, PT is a Physical Therapist based in Wausau, Wisconsin. Mr Joselito Jimenez Bongco is licensed to practice in Wisconsin (license number 10462-24) and his current practice location is 3312 Terrace Ct, Wausau, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (636) 451-7090.

NPI number for Mr Joselito Jimenez Bongco is 1790900967 and his current mailing address is 3312 Terrace Ct, Wausau, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790900967.

Contact Information

Mr Joselito Jimenez Bongco, PT
3312 Terrace Ct,
Wausau, WI 54401-4904
(636) 451-7090
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Joselito Jimenez Bongco
GenderMale
SpecialityPhysical Therapist
Location3312 Terrace Ct, Wausau, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790900967
  • Provider Enumeration Date: 04/14/2007
  • Last Update Date: 10/27/2012

Medical Identifiers

Medical identifiers for Mr Joselito Jimenez Bongco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790900967NPI-NPPES
40476300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 10462-24 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Joselito Jimenez Bongco is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Joselito Jimenez Bongco, PT
3312 Terrace Ct,
Wausau, WI 54401-4904

Ph: (636) 451-7090
Mr Joselito Jimenez Bongco, PT
3312 Terrace Ct,
Wausau, WI 54401-4904

Ph: (636) 451-7090

Reviews and Comments


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