PHYSICALLY CORRECT PHYSICAL THERAPY SERVICES, LLC (NPI# 1710323563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710323563 |
| Entity Type | Organization |
| Organization Name | PHYSICALLY CORRECT PHYSICAL THERAPY SERVICES, LLC |
| Practice Address |
5889 Riverside Dr Greendale WI 53129-2817 |
| Mailing Address |
Po Box 370081 Milwaukee WI 53237-1181 |
| Practice Telephone | 4149407278 |
| Practice Fax Number | 4142354884 |
| Mailing Telephone | 4149407278 |
| Mailing Fax Number | 4142354884 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | MR. PHILIP WILLIAM BERGOLD (OWNER) |
| Authorized Official Telephone | 4149407278 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 5058-024 | WI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5889 RIVERSIDE DR |
| City | GREENDALE |
| State | WI |
| Zip Code | 53129-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073135 | Philip William Bergold | Physical Therapist | 5889 Riverside Dr, Greendale, WI 53129-2817 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225579253 | Jewel E Schneider | Nurse Practitioner | 6801 Southway, Greendale, WI 53129 | 2017-03-09 |
| 1578019782 | Kristina Copeland | Nurse Practitioner | 6220 West Loomis Road, Greendale, WI 53129 | 2016-08-28 |
| 1568713162 | Monica A Judge | Acupuncturist | 5651 Broad Street, Greendale, WI 53129 | 2012-09-24 |
| 1295867364 | Allen Curphey Owen | Dentist | 5310 W Loomis Rd, Greendale, WI 53129 | 2007-03-12 |
| 1689720583 | Terry Michael Hough | Chiropractor | 5800 Broad St, Greendale, WI 53129 | 2007-01-25 |
| 1730282815 | Lindsay Kathryn Heus | Speech-Language Pathologist | 5405 W Loomis Rd, Greendale, WI 53129 | 2006-09-06 |
| 1477900561 | Therapy At Home LLC | Physical Therapist | 7711 Freeland Ct, Greendale, WI 53129 | 2016-05-18 |
| 1972871606 | Tony J Matuszak | Optometrist | 5497 S 76th St, Greendale, WI 53129 | 2011-12-08 |
| 1750589990 | Lisa Anne Balge | Occupational Therapist | 3111 West Rawson Avenue, Suite 215, Franklin, WI 53129 | 2007-07-10 |
| 1497282255 | Mobile Occupational Health and Wellness Urgent Care Solutions | Clinic/Center | 5055 S 84th St, Greendale, WI 53129-1006 | 2017-05-11 |
| Find all providers in zip 53129 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780931725 | Angelina Marie Lettiere | Specialist/Technologist, Other | 3508 Stewart Ave, Wausau, WI 54401-4919 | 2012-08-09 |
| 1710244876 | Robert Pamenter | Specialist/Technologist, Other | 3424 Superior Ave, Sheboygan, WI 53081-1862 | 2012-04-13 |
| 1073795506 | Kristine J. Clark | Specialist/Technologist, Other | Valley Orthopedic Clinic Sc, 2105 E Enterprise Ave., Ste 111, Appleton, WI 54913-7862 | 2007-11-27 |
| 1801081393 | Bryant Cannon | Specialist/Technologist, Other | 544 E Ogden Ave, 700-265, Milwaukee, WI 53202-2698 | 2007-09-08 |
| 1386775906 | Barbara Marie Van Lieshout | Specialist/Technologist, Other | 229 Meadow Ct, Jefferson, WI 53549-1184 | 2007-03-07 |
| 1770611741 | Steven Weber | Specialist/Technologist, Other | 305 Karen Ct, Madison, WI 53705-5026 | 2007-03-01 |
| 1962419457 | Diana Mccarthy | Specialist/Technologist, Other | 714 Oregon St, Oshkosh, WI 54902-5968 | 2006-08-01 |
| 1073528493 | Ashley Marie Rockey | Specialist/Technologist, Other | 2105 E Enterprise Ave Ste 111, Appleton, WI 54913-7862 | 2006-07-31 |
| 1407337991 | Debora Armstrong | Specialist/Technologist, Other | 2001 W Broadway, Monona, WI 53713-3707 | 2018-08-23 |
| 1205372323 | Sadie Olson | Specialist/Technologist, Other | 800 Compassion Way, Dodgeville, WI 53533-1956 | 2017-01-12 |
| 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.