| Peter Grande, | |
|
1902 Mead Ave, Sheboygan, WI 53081-6140 | |
| (920) 458-8333 | |
| Not Available |
| Full Name | Peter Grande |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1902 Mead Ave, Sheboygan, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942638572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12484-24 (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 |
| Provider Name | Fox Rehabilitation Services Wi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Grande, 1902 Mead Ave, Sheboygan, WI 53081-6140 Ph: () - | Peter Grande, 1902 Mead Ave, Sheboygan, WI 53081-6140 Ph: (920) 458-8333 |
Laura J Markham, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
John R Caron, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1813 Ashland Ave, Sheboygan, WI 53081 Phone: 920-458-4010 | |
Christine Anne Yurk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3821 Kohler Memorial Dr Ste 102, Sheboygan, WI 53081 Phone: 920-208-9648 | |
Kaitlin Guerin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3129 Michigan Ave, Sheboygan, WI 53081 Phone: 920-395-2820 | |
Mrs. Jody Lynn Pye, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2131 S Business Dr, Sheboygan, WI 53081 Phone: 920-803-1617 Fax: 920-803-1622 | |
Ms. Carol Gould, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3431 N 13th St, Sheboygan, WI 53083 Phone: 920-457-5046 | |
Amy Murray, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 |