Team Rehabilitation Wi02, Llc | |
5764 S 108th St, Hales Corners, WI 53130-1947 | |
(414) 488-0330 | |
(414) 488-0331 |
Full Name | Team Rehabilitation Wi02, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 5764 S 108th St, Hales Corners, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326553231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Kevin Robert Eckert |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255587119 PECOS PAC ID: 6709952765 Enrollment ID: I20180130000782 |
Provider Name | Viktor Gottlieb |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558929638 PECOS PAC ID: 3678806072 Enrollment ID: I20190617001646 |
Provider Name | Benjamin Altgilbers |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821657024 PECOS PAC ID: 5698009546 Enrollment ID: I20190626001338 |
Provider Name | Christine Hartl |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255942629 PECOS PAC ID: 3577989615 Enrollment ID: I20200819002465 |
Provider Name | Jordan Vandyck |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871199471 PECOS PAC ID: 9537571195 Enrollment ID: I20201224000092 |
Mailing Address | Practice Location Address |
---|---|
Team Rehabilitation Wi02, Llc 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation Wi02, Llc 5764 S 108th St, Hales Corners, WI 53130-1947 Ph: (414) 488-0330 |
Advanced Institute Of Rehabilitation Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5301 S 108th St, Hales Corners, WI 53130 Phone: 414-586-0036 Fax: 414-586-0046 | |
Boris Gigov, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5700 S 108th St, Hales Corners, WI 53130 Phone: 800-974-4378 Fax: 630-515-1536 | |
Charles Reitz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10731 W Forest Home Ave, Hales Corners, WI 53130 Phone: 414-529-4605 | |
Futachai Rasavong, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5301 S 108th St, Hales Corners, WI 53130 Phone: 414-529-7375 Fax: 414-529-7567 | |
Kevin Robert Eckert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5764 S 108th St, Hales Corners, WI 53130 Phone: 414-400-7110 Fax: 414-400-7112 | |
Christine Hartl, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5764 S 108th St, Hales Corners, WI 53130 Phone: 414-400-7110 Fax: 414-400-7112 | |
Instep Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5700 S 108th St, Hales Corners, WI 53130 Phone: 414-858-9306 Fax: 414-858-9307 |