LUCAS D GAUTHIER (NPI# 1033690003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033690003 |
| Entity Type | Individual |
| Full Name | LUCAS D GAUTHIER |
| Credential | DPT |
| Practice Address |
1931 Marinette Ave Marinette WI 54143-3801 |
| Mailing Address |
2105 E Enterprise Ave Ste 113 Appleton WI 54913-7862 |
| Practice Telephone | 7157355500 |
| Practice Fax Number | 7157355502 |
| Mailing Telephone | 9205601083 |
| Mailing Fax Number | 9205601098 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 14425-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE LICENSE | 14425-24 | 01 |
| Street Address |
1931 MARINETTE AVE |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639661119 | Advanced Physical Therapy & Sports Medicine Sc | Occupational Therapist | 1931 Marinette Ave, Marinette, WI 54143-3801 | 2018-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| 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 |
|---|---|---|---|---|
| 1982834099 | Jennifer Berkers | Physical Therapist | 3821 Irving St, Marinette, WI 54143-1025 | 2009-07-23 |
| 1124227657 | Tadeusz Filon | Physical Therapist | N3027 Woodland Rd, Marinette, WI 54143-9575 | 2007-07-14 |
| 1699888636 | Victory Physical Therapy and Wellness Specialists | Physical Therapist | 3908 Hall Ave, Suite A, Marinette, WI 54143-1018 | 2006-08-16 |
| 1083727903 | Page Lewandowski | Physical Therapist | 2500 Hall Ave Ste B, Marinette, WI 54143-1604 | 2006-08-16 |
| 1699393983 | Andrea Olson | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2020-07-13 |
| 1073130670 | Heidi Kathryn Bohrer | Physical Therapist | 3117 Shore Dr Ste 101, Marinette, WI 54143-4293 | 2020-06-30 |
| 1770061731 | Ryan Best | Physical Therapist | 3117 Shore Dr Ste 101, Marinette, WI 54143-4293 | 2018-08-01 |
| 1154813319 | Ashley T Bretl | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2018-06-04 |
| 1831697291 | Tyler James Esser | Physical Therapist | 831 Pine Beach Rd, Marinette, WI 54143-4225 | 2018-01-30 |
| 1730696899 | Janet Dunlap | Physical Therapist | 3117 Shore Dr Ste 101, Marinette, WI 54143-4293 | 2018-01-10 |
| Find all providers in MARINETTE | ||||
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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.