| Todd Emery Lawrence, MSPT | |
|
21820 Oakmont Ln, Brookfield, WI 53045-3224 | |
| (262) 938-9845 | |
| Not Available |
| Full Name | Todd Emery Lawrence |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 21820 Oakmont Ln, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538386214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5540-024 (Wisconsin) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093389751 PECOS PAC ID: 5193036432 Enrollment ID: O20210621000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Emery Lawrence, MSPT 21820 Oakmont Ln, Brookfield, WI 53045-3224 Ph: (262) 938-9845 | Todd Emery Lawrence, MSPT 21820 Oakmont Ln, Brookfield, WI 53045-3224 Ph: (262) 938-9845 |
Luz Daniela Larraga Martinez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd, Brookfield, WI 53045 Phone: 262-923-7101 | |
Kristin M Gehringer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Mackenzi Bowman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd, Brookfield, WI 53045 Phone: 262-923-7101 | |
Jamie Wickershiem, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17500 W Bluemound Rd, Ste B, Brookfield, WI 53045 Phone: 262-901-2800 Fax: 262-784-2914 | |
Mrs. Shelley Sue Brenholt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17280 W North Ave, # 104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Christina Inez Rose Hochla, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 195 Discovery Dr, Brookfield, WI 53045 Phone: 262-513-7500 | |
Mrs. Marcy R Heuer, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19525 W North Avenue, Franciscan Woods, Brookfield, WI 53045 Phone: 262-785-1114 Fax: 262-780-3805 |