MICHAEL BODART (NPI# 1497779177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497779177 |
| Entity Type | Individual |
| Full Name | MICHAEL BODART |
| Credential | PT |
| Practice Address |
2502 S. Ashland Ave. Green Bay WI 54304 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2263 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40286000 | 05 |
| Street Address |
2502 S. ASHLAND AVE. |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245224021 | Daniel P Metz | Orthopaedic Surgery | 2502 S. Ashland Ave., Green Bay, WI 54304 | 2005-09-07 |
| 1326332941 | Bryan R Schwebke | Physical Therapist | 2502 S. Ashland Ave., Green Bay, WI 54304 | 2011-05-31 |
| 1891925830 | Trista Larson | Physical Therapist | 2502 S. Ashland Ave., Green Bay, WI 54304 | 2009-07-24 |
| 1194969105 | Kasey Lynn Bantes-behmke | Physician Assistant | 2502 S. Ashland Ave., Green Bay, WI 54304 | 2009-04-22 |
| 1043334451 | Resa Malloy | Physical Therapist | 2502 S. Ashland Ave., Green Bay, WI 54304 | 2007-03-19 |
| 1023155520 | Thomas J Krahn | Physical Therapist | 2502 S. Ashland Ave., Green Bay, WI 54304-5263 | 2007-01-31 |
| 1245320480 | Bolanle O. Gbadebo | Family Medicine | 2502 S. Ashland Ave., Green Bay, WI 54304 | 2006-10-16 |
| 1851315360 | Ann Tripp | Physical Therapist | 2502 S. Ashland Ave., Green Bay, WI 54304 | 2006-07-27 |
| 1649284654 | Tracy Severson | Physical Therapist | 2502 S. Ashland Ave., Green Bay, WI 54304 | 2006-07-27 |
| 1235143348 | Peter E. Mcmahon | Physical Therapist | 2502 S. Ashland Ave., Green Bay, WI 54304 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| 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 |
|---|---|---|---|---|
| 1356967558 | Theresa Ynez Baclohan Polistico | Physical Therapist | 2080 Verlin Rd Apt 16, Green Bay, WI 54311-6289 | 2020-06-23 |
| 1245716190 | John Kiskin | Physical Therapist | 403 N Ashland Ave, Green Bay, WI 54303-2803 | 2018-07-13 |
| 1689120941 | Sarah Lynn Anderson | Physical Therapist | 835 Webster, Green Bay, WI 54301-3526 | 2016-08-28 |
| 1164802567 | Bradley D Sarder | Physical Therapist | 2845 Greenbrier Rd Fl 2, Green Bay, WI 54311-6519 | 2015-06-02 |
| 1275943276 | Joshua Arvey | Physical Therapist | 615 Rolling Green Dr, Green Bay, WI 54313-5146 | 2014-04-30 |
| 1801192422 | Michael John Laviolette | Physical Therapist | 740 Aerostar Ln, Green Bay, WI 54313-6987 | 2011-01-28 |
| 1184873564 | Shawn G. Christenson | Physical Therapist | 600 S. Webster, Green Bay, WI 54301 | 2008-09-10 |
| 1003070707 | Anne Marie Hein | Physical Therapist | 3101 S Packerland Dr, Green Bay, WI 54313 | 2008-07-11 |
| 1669648119 | Renee Anderson | Physical Therapist | 3101 Packerland Dr, Green Bay, WI 54313-6187 | 2008-05-05 |
| 1093981623 | Jennifer Lynn Balthazor | Physical Therapist | 2919 Shelter Creek Ct, Green Bay, WI 54313-4549 | 2008-05-04 |
| Find all providers in GREEN BAY | ||||
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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.