SUSAN MANZ LARSON (NPI# 1003806795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003806795 |
| Entity Type | Individual |
| Full Name | SUSAN MANZ LARSON |
| Other Name | SUSAN B MANZ |
| Credential | MD |
| Practice Address |
2424 S 90th St Suite 500 West Allis WI 53227-2455 |
| Mailing Address |
19475 W North Ave Suite 201 Brookfield WI 53045-4199 |
| Practice Telephone | 4143288600 |
| Practice Fax Number | 4143288686 |
| Mailing Telephone | 2627804400 |
| Mailing Fax Number | 2627804425 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2008-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 31194020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31609800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578934741 | Susan Larson | Speech-Language Pathologist | 1022 Pioneer Trl, Bayport, MN 55003-1608 | 2015-10-14 |
| 1184835308 | Susan Larson | Occupational Therapist | 15357 W Wildwood Ct, Libertyville, IL 60048-1496 | 2007-05-28 |
| 1447461637 | Susan Piros Larson | Preventive Medicine | 1020 Serpentine Ln Ste 115, Pleasanton, CA 94566-4758 | 2007-05-27 |
| 1073072443 | Susan P Larson | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-03-15 |
| 1043724974 | Susan Genevieve Larson | Dietitian, Registered | 2475 E Broadway St, Helena, MT 59601-4928 | 2017-11-30 |
| 1437427754 | Susan Madeleine Larson | Physical Therapist | 1601 E 19th Ave, Suite 5500 N2pt, Denver, CO 80218-1216 | 2011-12-01 |
| 1780831305 | Susan Larson | Occupational Therapist | 103 Washington St, Elmira, NY 14901-3220 | 2008-08-26 |
| 1386735256 | Susan Gayle Larson | Psychiatry & Neurology | 3300 Gaither Rd, Baltimore, MD 21244-2916 | 2006-09-27 |
| 1336125632 | Susan A Larson | Pediatrics | 2550 S Parker Rd, Ste 206, Aurora, CO 80014-1622 | 2005-12-19 |
| Street Address |
2424 S 90TH ST SUITE 500 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811999063 | Richard D Davenport | Ophthalmology | 2424 S 90th St, Ste 506, West Allis, WI 53227-2455 | 2005-06-01 |
| 1881227205 | Sirr Grice | Pharmacist | 2424 S 90th St, West Allis, WI 53227-2455 | 2020-02-13 |
| 1730673955 | Denine Eva Anagnoustopolous | Physician Assistant | 2424 S 90th St, West Allis, WI 53227 | 2018-06-20 |
| 1881133593 | Jason R Gehring | Nurse Practitioner | 2424 S 90th St, West Allis, WI 53227-2455 | 2017-02-14 |
| 1265975825 | Rachel A Lewis | Nurse Practitioner | 2424 S 90th St, West Allis, WI 53227-2455 | 2016-11-29 |
| 1750737367 | Michael Goshorn | Family Medicine | 2424 S 90th St, West Allis, WI 53227-2455 | 2016-05-12 |
| 1366810020 | Kathleen J Krickeberg | Nurse Practitioner | 2424 S 90th St, West Allis, WI 53227-2455 | 2015-09-10 |
| 1568867232 | Lee David Klemens | Registered Nurse | 2424 S 90th St, Suite 504, West Allis, WI 53227-2455 | 2014-10-23 |
| 1578999405 | Kathleen Conrad | Pharmacist | 2424 S 90th St, West Allis, WI 53227-2455 | 2013-09-24 |
| 1538594585 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2424 S 90th St, Suite 500, West Allis, WI 53227-2455 | 2013-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800606 | Andrew Wieting | Physical Medicine & Rehabilitation | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-04-21 |
| 1790807220 | Gatis Makstenieks Md Sc | Physical Medicine & Rehabilitation | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2007-04-04 |
| 1205991197 | Gatis Makstenieks | Physical Medicine & Rehabilitation | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720610389 | Big Stone Medical LLC | Physical Medicine & Rehabilitation | 6211 Durand Ave Ste 100, Mount Pleasant, WI 53406-4956 | 2020-02-11 |
| 1235782152 | Industrial Therapy Solutions LLC | Physical Medicine & Rehabilitation | 4915 W Grande Market Dr, Appleton, WI 54913-8525 | 2019-07-19 |
| 1508347287 | Tyler James Syltie | Physical Medicine & Rehabilitation | 4855 W Electric Ave, West Milwaukee, WI 53219-1628 | 2018-08-22 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1154840569 | Ashley Friedenfels | Physical Medicine & Rehabilitation | E4486 290th Avenue, Menomonie, WI 54751 | 2017-09-18 |
| 1730601493 | Baycare Clinic LLP | Physical Medicine & Rehabilitation | 10624 N Port Washington Rd, Mequon, WI 53092-5049 | 2017-07-13 |
| 1235659343 | Anders Hendricks | Physical Medicine & Rehabilitation | 5708 75th St Ste B, Kenosha, WI 53142-3635 | 2017-06-21 |
| 1720433790 | Orthopaedic Associates of Wisconsin Sc | Physical Medicine & Rehabilitation | 1231 S Rochester St Ste 100, Mukwonago, WI 53149 | 2016-04-27 |
| 1295146785 | Aryn L. Slack | Physical Medicine & Rehabilitation | E7404 County Road Bb, Viroqua, WI 54665 | 2014-05-19 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.