| Mrs Melissa Diane Martin, PT | |
|
315 N Milwaukee St, Waterford, WI 53185-4432 | |
| (262) 514-2700 | |
| (262) 514-3003 |
| Full Name | Mrs Melissa Diane Martin |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 30 Years |
| Location | 315 N Milwaukee St, Waterford, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578565388 | NPI | - | NPPES |
| 40355700 | Medicaid | WI | |
| 859400075 | Other | WI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5437-024 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedic Associates Of Wisconsin Sc | 1052200953 | 94 |
| Provider Name | Orthopaedic Associates Of Wisconsin Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689656951 PECOS PAC ID: 1052200953 Enrollment ID: O20040310001280 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20100913000433 |
| Provider Name | Athletic & Therapeutic Institute Of Milwaukee, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801907464 PECOS PAC ID: 2062469190 Enrollment ID: O20140616000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melissa Diane Martin, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Mrs Melissa Diane Martin, PT 315 N Milwaukee St, Waterford, WI 53185-4432 Ph: (262) 514-2700 |
Brenna Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 808 Cornerstone Ct, Waterford, WI 53185 Phone: 262-928-9725 Fax: 262-928-9721 | |
Dawn Shuda, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 | |
Matthew Ferlindes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 | |
Jennifer M. Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003 | |
Stacey Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 | |
Jose Crespo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003 | |
Sadie Tenhagen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-558-8599 Fax: 262-758-5468 |