| Team Rehabilitation Wi07 Llc | |
|
11363 N. Port Washington Road, Mequon, WI 53092 | |
| (262) 833-2060 | |
| (262) 833-2061 |
| Full Name | Team Rehabilitation Wi07 Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 11363 N. Port Washington Road, Mequon, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275002297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Angela Marie Domnitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164976155 PECOS PAC ID: 4688652951 Enrollment ID: I20050505001097 |
| Provider Name | Evan Guettel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609265214 PECOS PAC ID: 5294060695 Enrollment ID: I20190708001474 |
| Provider Name | Alexandra A Schroeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285204727 PECOS PAC ID: 0143622142 Enrollment ID: I20210714000075 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation Wi07 Llc 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation Wi07 Llc 11363 N. Port Washington Road, Mequon, WI 53092 Ph: (262) 833-2060 |
April Belk, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11430 N Port Washington Rd, Mequon, WI 53092 Phone: 262-518-1900 | |
Lois Harrison, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12800 N Lake Shore Dr, Mequon, WI 53097 Phone: 262-243-4468 | |
Jennifer D'urso, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1249 W Liebau Rd, Mequon, WI 53092 Phone: 262-243-4161 Fax: 262-243-4166 | |
Form & Fitness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11053 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-3449 Fax: 262-241-5229 | |
Mrs. Sandra Pacl, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12600 N Port Washington Rd, Mequon, WI 53092 Phone: 262-387-8818 | |
Monika Maria De Arteaga, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11649 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-8022 | |
Dr. Melanie Thierfelder, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11363 N Port Washington Rd, Mequon, WI 53092 Phone: 262-833-2060 Fax: 262-833-2061 |