JASON KYLE FANDREY (NPI# 1013238377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013238377 |
| Entity Type | Individual |
| Full Name | JASON KYLE FANDREY |
| Credential | PT |
| Practice Address |
1021 Western Ave Suite B Mosinee WI 54455-1511 |
| Practice Telephone | 7156937727 |
| Practice Fax Number | 7156937171 |
| Mailing Telephone | 7156937727 |
| Mailing Fax Number | 7156937171 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 11421-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1021 WESTERN AVE SUITE B |
| City | MOSINEE |
| State | WI |
| Zip Code | 54455-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528004553 | Sport & Spine Clinic Lp | Clinic/Center | 1021 Western Ave, Suite B, Mosinee, WI 54455-1529 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459650 | Cameron Lee Mayfield | Student in an Organized Health Care Education/Training Program | 902 Kronenwetter Drive, Apt. 9, Mosinee, WI 54455 | 2020-02-12 |
| 1477073708 | Heather Samantha Laffin | Registered Nurse | 675 Ridge Road, Trailer 214, Mosinee, WI 54455 | 2017-06-27 |
| 1497296388 | Heidi Gwidt | Registered Nurse | 2045 1/2 S. Cty. Rd. X, Mosinee, WI 54455 | 2017-03-13 |
| 1578819256 | Rebecca Lynn Deffner | Nurse Practitioner | 1881 County Trunk Xx, Mosinee, WI 54455 | 2012-07-31 |
| 1770757668 | Peoplefirst | Skilled Nursing Facility | 681 South Highway X, Mosinee, WI 54455 | 2008-04-22 |
| 1134310063 | George A Knoedler | Dentist | 1103 Pine St, Mosinee, WI 54455 | 2007-08-06 |
| 1770785388 | Diana R Michlig | Registered Nurse | 1634 Hwy B, Mosinee, WI 54455 | 2007-06-05 |
| 1558461715 | Leah J Bouton | Physical Therapist | 390 Orbiting Drive, Mosinee, WI 54455 | 2006-09-25 |
| 1578660965 | Ryan L Miller | Chiropractor | 107 Maple St, Mosinee, WI 54455 | 2006-09-20 |
| 1942307327 | Charles N Heike | Chiropractor | 107 Maple Street, Mosinee, WI 54455 | 2006-09-20 |
| Find all providers in zip 54455 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558461715 | Leah J Bouton | Physical Therapist | 390 Orbiting Drive, Mosinee, WI 54455 | 2006-09-25 |
| 1790176675 | Stephanie Roth | Physical Therapist | 390 Orbiting Dr, Mosinee, WI 54455-1763 | 2015-02-12 |
| 1841691607 | Lisa Grams | Physical Therapist | 390 Orbiting Dr, Mosinee, WI 54455-1763 | 2014-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102937 | Kathleen Jerry | Physical Therapist | 4414 Dwight Dr Apt 5, Madison, WI 53704-3561 | 2020-10-21 |
| 1750988481 | Jacqueline Cleereman | Physical Therapist | 2106 Schofield Ave Ste 5, Weston, WI 54476-2412 | 2020-10-06 |
| 1972110229 | Michelle Steffes | Physical Therapist | 2350 N 59th St, Milwaukee, WI 53210-2214 | 2020-09-29 |
| 1972110492 | Amelia Rae Wolf | Physical Therapist | W229n1416 Westwood Dr Ste 4, Waukesha, WI 53186-1309 | 2020-09-29 |
| 1639786213 | Melissa Arfstrom | Physical Therapist | 27477 Highway 64 Ste C, Cornell, WI 54732-5223 | 2020-09-28 |
| 1932713146 | Athletico, Ltd | Physical Therapist | N63w23675 Main St, Sussex, WI 53089 | 2020-09-04 |
| 1356953913 | Brittany Smart | Physical Therapist | 7137 236th Ave Ste 101, Salem, WI 53168-8975 | 2020-08-17 |
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1811506447 | David Nehls | Physical Therapist | 626 Lake Shore Dr, Beaver Dam, WI 53916-1432 | 2020-07-29 |
| 1548879786 | Thomas Norman Beine | Physical Therapist | 2210 Dufek Dr, Manitowoc, WI 54220-9356 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.