JASON CARL GATLIN (NPI# 1245256015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245256015 |
| Entity Type | Individual |
| Full Name | JASON CARL GATLIN |
| Credential | M.P.T. |
| Practice Address |
200 East Tyrannena Road Therapy and Sport Center Lake Mills WI 53551 |
| Mailing Address |
230 Tamarack Dr Apt 6 Lake Mills WI 53551-1983 |
| Practice Telephone | 9206488170 |
| Mailing Telephone | 9202790320 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
10409-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40472500 | 05 |
| Street Address |
200 EAST TYRANNENA ROAD THERAPY AND SPORT CENTER |
| City | LAKE MILLS |
| State | WI |
| Zip Code | 53551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669793337 | Abigail Marie Mohoney | Speech-Language Pathologist | 901 Mulberry St., Lake Mills, WI 53551 | 2010-06-17 |
| 1467694828 | Penny Ann Mcknight | Registered Nurse | N7119 North Shore Rd, Lake Mills, WI 53551 | 2009-04-01 |
| 1982891289 | Assisted Living Concepts Inc | Assisted Living Facility | 300 Oneil Street, Lake Mills, WI 53551 | 2007-10-01 |
| 1184706160 | Steven John Fahsel | Dentist | 119 W Lake St, Lake Mills, WI 53551 | 2006-10-19 |
| 1558780221 | Whitney Marie Van Reesen | Family Medicine | 1025 Mulberry St, Lake Mills, WI 53551 | 2014-04-10 |
| 1265761969 | Leanne Anthon | Registered Nurse | 603 Fremont St, Lake Mills, WI 53551-1021 | 2009-12-09 |
| 1174806897 | Ear Clinic, LLC | Clinic/Center | 125b E Pine St, Lake Mills, WI 53551-1103 | 2011-09-20 |
| 1669602488 | Aadvantage Behavioral Healthcare, LLC | Clinic/Center | 125 E Pine St, Lake Mills, WI 53551-1103 | 2009-07-15 |
| 1710986096 | Christopher James Kroll | Chiropractor | 125a E Pine St, Lake Mills, WI 53551-1103 | 2005-07-19 |
| 1205495835 | Andrea K. Knoelke | Chiropractor | 125a E Pine St, Lake Mills, WI 53551-1103 | 2019-06-07 |
| Find all providers in zip 53551 | ||||
| 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 | ||||
| City | LAKE MILLS |
| Zip Code | 53551 |
Please comment or provide details below to improve the information on JASON CARL GATLIN.
| 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.