KOURTNEY BUELOW (NPI# 1205442373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205442373 |
| Entity Type | Individual |
| Full Name | KOURTNEY BUELOW |
| Credential | PT, DPT |
| Practice Address |
1774 Riverside Dr Suamico WI 54173-8100 |
| Mailing Address |
W5470 Harrison Rd Hilbert WI 54129-9377 |
| Practice Telephone | 9207703303 |
| Mailing Telephone | 9204501182 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
1518424 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1774 RIVERSIDE DR |
| City | SUAMICO |
| State | WI |
| Zip Code | 54173-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083808471 | Cathy Devalk-holl | Nurse Practitioner | 2890 Lineville Rd, Suamico, WI 54173 | 2007-08-29 |
| 1609040724 | Lori Berkovitz | Physical Therapy Assistant | 2409 Woodington Way, Suamico, WI 54173-7904 | 2008-04-18 |
| 1447482203 | Tricia Lee Zimonick | Physical Therapy Assistant | 2792 Summerset Cir, Suamico, WI 54173-8013 | 2009-08-12 |
| 1639719677 | Jennifer R Mier | Licensed Practical Nurse | 2797 Summerset Cir, Suamico, WI 54173-8014 | 2020-01-07 |
| 1083851380 | Sarah Kristin Richardson | Counselor | 976 Riverside Dr, Suamico, WI 54173-8105 | 2009-01-08 |
| 1407456676 | Cornerstone Counseling Solutions | Social Worker | 976 Riverside Dr, Suamico, WI 54173-8105 | 2020-10-27 |
| 1881178853 | Paramount Performance | Physical Therapist | 1749 Riverside Dr, Suamico, WI 54173-8185 | 2018-09-17 |
| 1578760443 | Jeffrey P Winick Md A Professional Corp | Ophthalmology | 3058 Harbor Winds Dr, Suamico, WI 54173-8188 | 2007-07-02 |
| 1487952388 | Michele Kasten | Specialist | 1509 Sunset Beach Rd, Suamico, WI 54173-8220 | 2011-03-02 |
| 1679965925 | April J. Kobishop Knutson | Nursing Care | 1485 Arctic Ct, Suamico, WI 54173-8274 | 2015-02-24 |
| Find all providers in zip 54173 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112072 | Bridget Grimes | Physical Medicine & Rehabilitation | 8560 26th Ave, Kenosha, WI 53143-6447 | 2020-01-02 |
| 1669094330 | Jane Edna Smetana | Physical Medicine & Rehabilitation | 2999 N Mayfair Rd Ste 300, Wauwatosa, WI 53222-4306 | 2020-05-15 |
| 1619598786 | Olivia Joi Carlton | Physical Medicine & Rehabilitation | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-04-30 |
| 1376170589 | Carrie Dorothy Burg | Physical Medicine & Rehabilitation | 1550 Hobbs Dr, Delavan, WI 53115-2027 | 2020-03-26 |
| 1568933224 | William Aristides George Iv | Physical Medicine & Rehabilitation | 8700 W Watertown Plank Rd, Milwaukee, WI 53226-3595 | 2018-12-06 |
| 1477021640 | Michael Houte | Physical Medicine & Rehabilitation | 1245 N Broadway, Milwaukee, WI 53202-2507 | 2018-11-06 |
| 1811487366 | Devon Robert Heim | Physical Medicine & Rehabilitation | 2000 Observatory Dr, Madison, WI 53706-1121 | 2018-05-10 |
| 1083103857 | Bianca Bockwinkel | Physical Medicine & Rehabilitation | 2000 Observatory Dr, Madison, WI 53706-1121 | 2018-05-07 |
| 1154810927 | Carlee Steinhaus | Physical Medicine & Rehabilitation | 2000 Observatory Dr, Madison, WI 53706-1121 | 2018-05-07 |
| 1801390448 | Hayley Ericksen | Physical Medicine & Rehabilitation | 3409 N Downer Ave, Milwaukee, WI 53211 | 2018-03-20 |
| 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.