Sport Clinic Physical Therapy Inc - Medicare Physical Therapist in Bayside, WI

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Sport Clinic Physical Therapy Inc is a medicare enrolled "Physical Therapist" provider in Bayside, Wisconsin. Their current practice location is 8911 N Port Washington Rd, Sport Clinic Physical Therapy Inc, Bayside, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (414) 351-5794.

Sport Clinic Physical Therapy Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sport Clinic Physical Therapy Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1912918475.

Contact Information

Sport Clinic Physical Therapy Inc
8911 N Port Washington Rd, Sport Clinic Physical Therapy Inc,
Bayside, WI 53217-1634
(414) 351-5794
(414) 351-2770

Map and Direction




Healthcare Provider's Profile

Full NameSport Clinic Physical Therapy Inc
TypeFacility
SpecialityPhysical Therapist
Location8911 N Port Washington Rd, Bayside, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912918475
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 06/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0244285187
  • Enrollment ID: O20050314000970

Medical Identifiers

Medical identifiers for Sport Clinic Physical Therapy Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912918475NPI-NPPES
40424700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sport Clinic Physical Therapy Inc acts as a billing entity for following providers:
Provider NameSherese D Hildenbrand
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1154314466
PECOS PAC ID: 0840286605
Enrollment ID: I20040427000467
Provider NameJohn A Hendrickson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700897279
PECOS PAC ID: 0941269393
Enrollment ID: I20050315000367
Provider NameDaniel C Oberneder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740389469
PECOS PAC ID: 4183639933
Enrollment ID: I20060215000230
Provider NameAnn V John
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1285823161
PECOS PAC ID: 3577627579
Enrollment ID: I20090205000114
Provider NameMelissa E B High
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811136740
PECOS PAC ID: 4284791799
Enrollment ID: I20090327000585
Provider NameNathanael P Sorum
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871881094
PECOS PAC ID: 0648435396
Enrollment ID: I20120629000549
Provider NameLindsey R Wolf
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740693365
PECOS PAC ID: 3779898028
Enrollment ID: I20150814013491
Provider NameMarcus A Werner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033594320
PECOS PAC ID: 7315255924
Enrollment ID: I20180416000187
Provider NameAriel R Skavdahl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821514605
PECOS PAC ID: 4981016045
Enrollment ID: I20201214001640
Provider NameBrian T Bonk
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1942848387
PECOS PAC ID: 3779918248
Enrollment ID: I20201223001432
Provider NameBarbara U Rector
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962050054
PECOS PAC ID: 4486060621
Enrollment ID: I20210312000509
Provider NameRyan D Henke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558956441
PECOS PAC ID: 0749677607
Enrollment ID: I20220422001024
Provider NameChristine E Farrell
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1053503128
PECOS PAC ID: 7618352139
Enrollment ID: I20220920002606
Provider NameKristin B Williams
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1609802529
PECOS PAC ID: 0244236222
Enrollment ID: I20230314002419
Provider NameChelsea Stratton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467105841
PECOS PAC ID: 8426413378
Enrollment ID: I20230427001046
Provider NameCarolyn Jansen
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1568907772
PECOS PAC ID: 7911366083
Enrollment ID: I20230707000704
Provider NameCamelia Meindertsma
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760046122
PECOS PAC ID: 0143751024
Enrollment ID: I20241002002717

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sport Clinic Physical Therapy Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sport Clinic Physical Therapy Inc
8911 N Port Washington Rd, Sport Clinic Physical Therapy Inc,
Bayside, WI 53217-1634

Ph: (414) 351-5794		Sport Clinic Physical Therapy Inc
8911 N Port Washington Rd, Sport Clinic Physical Therapy Inc,
Bayside, WI 53217-1634

Ph: (414) 351-5794

Reviews and Comments


Physical Therapist in Bayside, WI

Christopher Matthew Demarco, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217
Phone: 414-351-5794    Fax: 414-351-2770
Mrs. Jill Marie Repinski, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217
Phone: 414-351-5794    Fax: 414-351-2770
Deborah Jordan,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 727 W Laramie Ln, Bayside, WI 53217
Phone: 414-444-4822    Fax: 414-444-4833
Ashley Emery, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217
Phone: 414-351-5794    Fax: 414-351-2770
Judy Atkins White, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217
Phone: 414-351-5794    Fax: 414-351-2770
John A Hendrickson, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 8911 North Port Washington Road, Sport Clinic Physical Therapy Inc, Bayside, WI 53217
Phone: 414-351-5794    Fax: 414-351-2770
Paul J Mansfield, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8911 N Port Washington Rd, Bayside, WI 53217
Phone: 414-351-5794    Fax: 414-351-2770

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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