| Riverview Physical Therapy & Sports Medicine ,s.c. | |
| 
					516 E Green Bay Ave, Saukville, WI 53080-2012  | |
| (262) 284-9510 | |
| (262) 284-9511 | 
| Full Name | Riverview Physical Therapy & Sports Medicine ,s.c. | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 516 E Green Bay Ave, Saukville, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922180918 | NPI | - | NPPES | 
| 40421500 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 6535-024 (Wisconsin) | Secondary | 
| 225100000X | Physical Therapist | 4345-024 (Wisconsin) | Primary | 
| Provider Name | Diane M Ott | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1659590370 PECOS PAC ID: 3577465913 Enrollment ID: I20040126000026  | 
| Provider Name | Julie A Schueller | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1578681748 PECOS PAC ID: 1850293291 Enrollment ID: I20040126000042  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Riverview Physical Therapy & Sports Medicine ,s.c. 516 E Green Bay Ave, Saukville, WI 53080-2012 Ph: (262) 284-9510  | Riverview Physical Therapy & Sports Medicine ,s.c. 516 E Green Bay Ave, Saukville, WI 53080-2012 Ph: (262) 284-9510  | 
Mr. George Stephen Mann Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4685 County Road Y, Saukville, WI 53080 Phone: 262-689-8185  | |
Riverside Physical Therapy & Pelvic Health, S.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Green Bay Ave, Saukville, WI 53080 Phone: 262-284-9510 Fax: 262-284-9511  | |
Mrs. Julie Schueller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 516 E. Green Bay Ave, Saukville, WI 53080 Phone: 262-284-9510 Fax: 262-284-9511  | |
Calvin Donald Thomas, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 516 East Green Bay Ave, Saukville, WI 53080 Phone: 262-284-9510 Fax: 262-284-9511  | |
Mrs. Diane Mary Ott, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 516 E Green Bay Ave, Saukville, WI 53080 Phone: 262-284-9510 Fax: 262-284-9511  |