MR. VINCENT KABBAZ (NPI# 1205036415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205036415 |
| Entity Type | Individual |
| Full Name | MR. VINCENT KABBAZ |
| Credential | P.T. |
| Practice Address |
5900 Monona Dr Suite 200 Monona WI 53716-3554 |
| Practice Telephone | 6084410032 |
| Practice Fax Number | 6084410034 |
| Mailing Telephone | 6084410032 |
| Mailing Fax Number | 6084410034 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
05004602A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
070-014463 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT 28264 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5161-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5900 MONONA DR SUITE 200 |
| City | MONONA |
| State | WI |
| Zip Code | 53716-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518014372 | Linda Carter Pettersen | Social Worker | 5900 Monona Dr, Suite 100, Monona, WI 53716-3554 | 2007-01-04 |
| 1629491469 | Jane Mccauley I | Social Worker | 5900 Monona Dr, Suite 100, Monona, WI 53716-3554 | 2014-01-30 |
| 1063700953 | Vanessa Hodgson | Social Worker | 5900 Monona Dr, Suite 300, Monona, WI 53716-3554 | 2011-07-13 |
| 1164659330 | Jennifer S. Kuckuk | Counselor | 5900 Monona Dr, Suite 100, Monona, WI 53716-3554 | 2009-06-16 |
| 1235376559 | Suzanne Reuschlein Gruen | Social Worker | 5900 Monona Dr, Suite 100- Samaritan Counseling Center, Monona, WI 53716-3554 | 2009-01-08 |
| 1154591626 | Jennifer Lynn Cummings | Social Worker | 5900 Monona Dr, Water Tower Place Suite 100, Monona, WI 53716-3554 | 2008-03-11 |
| 1457572984 | Paul J Melrose | Marriage & Family Therapist | 5900 Monona Dr, Suite 100, Monona, WI 53716-3554 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281760 | Devin Rorabeck | Physical Therapist | 1355 Awatukee Trl, Hudson, WI 54016-6936 | 2020-07-03 |
| 1235755265 | Andrew Roland Olson | Physical Therapist | 1507 W Knapp St Unit 1, Rice Lake, WI 54868-1384 | 2020-06-25 |
| 1730641887 | Jessica Solfest | Physical Therapist | 301 S Westfield Rd, Madison, WI 53717-1730 | 2019-04-05 |
| 1093294068 | Andrew Bidney | Physical Therapist | 945 N 12th St Rm 1100, Milwaukee, WI 53233-1305 | 2018-08-10 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1144753542 | Promotion Physical Therapy | Physical Therapist | 2836 Steamboat Springs Run, Green Bay, WI 54313-9220 | 2017-04-04 |
| 1962959114 | Mary E Campbell | Physical Therapist | 1249 W Liebau Rd Ste 100, Mequon, WI 53092-3397 | 2016-09-06 |
| 1255781597 | Patrick Christopherson | Physical Therapist | 11702 W North Ave, Wauwatosa, WI 53226-2132 | 2016-06-17 |
| 1730565037 | Julia Badding | Physical Therapist | 14625 W Capitol Dr Ste 200, Brookfield, WI 53005-2318 | 2015-08-10 |
| 1811221344 | Mariann Schuster | Physical Therapist | 4125 N 124th St Ste A, Brookfield, WI 53005-1837 | 2009-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. VINCENT KABBAZ.
| 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.