| Optimal Physical Therapy, Llc | |
|
805 Elm St, Lake Mills, WI 53551-1127 | |
| (920) 648-2400 | |
| (920) 648-2444 |
| Full Name | Optimal Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 805 Elm St, Lake Mills, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508887464 | NPI | - | NPPES |
| 40431100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Wisconsin) | Primary |
| Provider Name | Jennifer A Jeschke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609898717 PECOS PAC ID: 7517945736 Enrollment ID: I20040713000509 |
| Provider Name | Nathaniel D Hoover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902254550 PECOS PAC ID: 3870870736 Enrollment ID: I20170501002346 |
| Provider Name | Joy A Cochran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568942779 PECOS PAC ID: 5193077550 Enrollment ID: I20181012000202 |
| Provider Name | Sara Mcinnis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154924991 PECOS PAC ID: 8820401169 Enrollment ID: I20210114000548 |
| Provider Name | Grace M Compton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932893864 PECOS PAC ID: 9335500065 Enrollment ID: I20230727003923 |
| Provider Name | Kelsey Justin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225737356 PECOS PAC ID: 3072953223 Enrollment ID: I20240503003571 |
| Provider Name | Colleen Aubrey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003655861 PECOS PAC ID: 6406398072 Enrollment ID: I20240611001869 |
| Provider Name | Marissa Anderson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033950894 PECOS PAC ID: 6709321037 Enrollment ID: I20240711001184 |
| Provider Name | Elizabeth Pade Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972988749 PECOS PAC ID: 2769785948 Enrollment ID: I20250123001490 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Physical Therapy, Llc 805 Elm St, Lake Mills, WI 53551-1127 Ph: (920) 648-2400 | Optimal Physical Therapy, Llc 805 Elm St, Lake Mills, WI 53551-1127 Ph: (920) 648-2400 |
Mrs. Kathryn Anne Kidd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-8170 Fax: 920-648-8225 | |
Sara Mcinnis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 Elm St, Lake Mills, WI 53551 Phone: 920-648-2400 Fax: 920-648-2444 | |
Ms. Nancy Eileen Lange, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N6628 Shorewood Hills Rd, Lake Mills, WI 53551 Phone: 920-648-3423 | |
Jason Carl Gatlin, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 East Tyrannena Road, Therapy And Sport Center, Lake Mills, WI 53551 Phone: 920-648-8170 | |
Dr. Jennifer A Jeschke, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 805 Elm St, Lake Mills, WI 53551 Phone: 920-648-2400 Fax: 920-648-2444 | |
Mrs. Brenna Elizabeth Meyer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 Elm St, Lake Mills, WI 53551 Phone: 920-648-2400 Fax: 920-648-2444 |