| Mr Nicholas Timothy Sawyer, MPT | |
|
1504 Madison Ave, Fort Atkinson, WI 53538-3100 | |
| (920) 563-9357 | |
| (920) 568-6545 |
| Full Name | Mr Nicholas Timothy Sawyer |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1504 Madison Ave, Fort Atkinson, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669706388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11156-24 (Wisconsin) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275073363 PECOS PAC ID: 5193036432 Enrollment ID: O20170614002978 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas Timothy Sawyer, MPT 1504 Madison Ave, Fort Atkinson, WI 53538-3100 Ph: (920) 563-9357 | Mr Nicholas Timothy Sawyer, MPT 1504 Madison Ave, Fort Atkinson, WI 53538-3100 Ph: (920) 563-9357 |
Brett William Eliszewski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-9357 | |
Dawn Elizabeth Kubly, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5299 | |
Mr. Paul Robert Incha, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-9357 Fax: 920-568-6545 | |
Gregory Scolman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-9357 Fax: 920-568-6545 | |
Kyle Newcomb, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-9357 Fax: 920-568-6545 | |
Rigel A Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-9357 Fax: 920-568-6545 | |
Alexander Bakken, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 Wilcox St, Fort Atkinson, WI 53538 Phone: 920-563-5533 |