| Mr Ted N Teberg, PT | |
|
204 South Pine Street, Burlington, WI 53105 | |
| (262) 767-9579 | |
| (262) 767-9610 |
| Full Name | Mr Ted N Teberg |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 204 South Pine Street, Burlington, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477511509 | NPI | - | NPPES |
| 40391100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4607024 (Wisconsin) | Primary |
| Provider Name | Advantage Physical Therapy & Sports Rehab, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881773463 PECOS PAC ID: 8022016336 Enrollment ID: O20061121000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ted N Teberg, PT 600 52nd St, Suite 240, Kenosha, WI 53140-3423 Ph: (262) 925-5004 | Mr Ted N Teberg, PT 204 South Pine Street, Burlington, WI 53105 Ph: (262) 767-9579 |
Cynthia L Wuttke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Mc Canna Pkwy, Burlington, WI 53105 Phone: 262-767-7120 | |
Mrs. Barbara Ann Gabrysiak, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 677 E State St, Burlington, WI 53105 Phone: 262-763-9531 | |
Brian John Bedalov, M.S.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1054 Milwaukee Ave Ste 200, Burlington, WI 53105 Phone: 800-974-4378 Fax: 630-515-1536 | |
Athletico,ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 980 Milwaukee Ave, Suite 500, Burlington, WI 53105 Phone: 630-575-1980 | |
Elizabeth Mary Morrissey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 677 E State St, Burlington, WI 53105 Phone: 262-763-9531 | |
Madeline Kegel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-971-9300 | |
Hubert John Yu Sam Chua, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 980 Milwaukee Ave Ste 500, Burlington, WI 53105 Phone: 262-757-7752 |