BROCK ANDREW HANKE


Address: N8218 State Road 28, Mayville, WI 53050-2126
Phone: 9203879200

BROCK ANDREW HANKE (NPI# 1952969909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952969909
Entity Type Individual
Full Name BROCK ANDREW HANKE
Credential DPT
Practice Address N8218 State Road 28
Mayville
WI 53050-2126
Practice Telephone 9203879200
Mailing Telephone 9203879200
Enumeration Date 2019-06-04
Last Update Date 2019-06-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2251S0007X Physical Therapist
Specialization: Sports
14719-24 WI Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
14719-24 WI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address N8218 STATE ROAD 28
City MAYVILLE
State WI
Zip Code 53050-2126

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NPI Name Taxonomy Address Enumeration
1740481779 Back In Action Rehabilitation, S.c. Occupational Therapist N8218 State Road 28, Mayville, WI 53050-2126 2007-05-29

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1841733474 Joy Wagner Marriage & Family Therapist 668 N Main St Ste 7, Mayville, WI 53050-1249 2016-11-30
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

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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
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Competitor

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City MAYVILLE
Zip Code 53050

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Dataset Information

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.

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