MRS. ELIZABETH MARIE MORTAG (NPI# 1134522170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134522170 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH MARIE MORTAG |
| Credential | DPT |
| Practice Address |
13105 Watertown Plank Rd Elm Grove WI 53122-2213 |
| Mailing Address |
18260 Astor Dr Apt 101 Brookfield WI 53045-5695 |
| Practice Telephone | 2627829850 |
| Mailing Telephone | 3093604162 |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2014-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 12680-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13105 WATERTOWN PLANK RD |
| City | ELM GROVE |
| State | WI |
| Zip Code | 53122-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831223213 | Susan M.r. Schultz | Physical Therapy Assistant | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2007-03-15 |
| 1881294965 | Mayra Serna Garcia | Occupational Therapist | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2020-10-28 |
| 1356987101 | Camille Marasigan | Physical Therapy Assistant | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2019-11-26 |
| 1801296322 | Sarah Farley | Physical Therapy Assistant | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2014-09-03 |
| 1154765303 | Elisabeth Magnus | Physical Therapist | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2013-04-18 |
| 1760733075 | Gloria T List | Dentist | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2012-09-26 |
| 1306195649 | Anna Maria Heindl | Licensed Vocational Nurse | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2012-08-31 |
| 1619225638 | Cynthia Kristen Watson | Registered Nurse | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2012-08-23 |
| 1992079891 | School Sisters of Notre Dame Central Pacific Province, Inc. | Non-Pharmacy Dispensing Site | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2012-02-24 |
| 1669615019 | Karin Lynn Buckholdt | Physical Therapist | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2009-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797687 | Brian Gordon Wisniewski | Hearing Instrument Specialist | 13000 W. Bluemound Road, Elm Grove, WI 53122 | 2020-10-14 |
| 1124279161 | Otto Albrecht Wiegmann | Ophthalmology | 1945 Westmoor Ter, Elm Grove, WI 53122 | 2008-10-08 |
| 1912161266 | Kaaya Medicine | Internal Medicine | 14840 Jueau Blvd, Elm Grove, WI 53122 | 2008-07-16 |
| 1205050903 | Actualized Clinical Services Consulting, Inc. | Psychologist | 820 Brinsmere Drive, Elm Grove, WI 53122 | 2007-04-12 |
| 1487793345 | Lynn Joy Gauger | Social Worker | 740 North Pilgrim Parkway, Suite 206, Elm Grove, WI 53122 | 2007-02-06 |
| 1336218957 | Bette L Frangesch | Nurse Practitioner | 13105 E Watertown Plank Rd, Unite Theresa 2, Elm Grove, WI 53122 | 2006-11-07 |
| 1043398464 | Carol Therese Haughey | Family Medicine | 1050 Legion Drive, Elm Grove, WI 53122 | 2006-11-02 |
| 1700972908 | Christos Counseling | Social Worker | 12970 W. Bluemound Road, #105, Elm Grove, WI 53122 | 2006-10-05 |
| 1932138245 | Tammy M Groszczyk | Counselor | 890 Elm Grove Rd Ste 6, Elm Grove, WI 53122 | 2006-06-30 |
| 1689272437 | James Joseph Brinks | Hearing Instrument Specialist | 13000 W. Bluemound Road, Elm Grove, WI 53122 | 2020-10-14 |
| Find all providers in zip 53122 | ||||
| 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 |
|---|---|---|---|---|
| 1447819719 | Shawn Michael Bohler | Physical Therapist | 15255 Watertown Plank Rd Ste 200, Elm Grove, WI 53122-2338 | 2019-06-11 |
| 1164952016 | Jamie L Greisinger | Physical Therapist | 700 Pilgrim Pkwy Ste L8, Elm Grove, WI 53122-2064 | 2017-06-14 |
| 1427459387 | Michael A Bonis | Physical Therapist | 1085 Lower Ridgeway, Elm Grove, WI 53122-2155 | 2014-09-10 |
| 1902043268 | Marla Elice Kersteen Kalfayan | Physical Therapist | 14545 Ridgemoor Dr, Elm Grove, WI 53122-1131 | 2009-01-08 |
| 1164602587 | Jill M Petryczkiewycz | Physical Therapist | 13000 W Bluemound Rd, Suite 300, Elm Grove, WI 53122-2650 | 2007-11-14 |
| 1609848761 | Mark G Snyder | Physical Therapist | 700 Pilgrim Pkwy, Suite 203, Elm Grove, WI 53122-2063 | 2006-02-03 |
| 1396342564 | Courtney Herrick | Physical Therapist | 700 Pilgrim Pkwy Ste L8, Elm Grove, WI 53122-2064 | 2020-10-01 |
| 1154765303 | Elisabeth Magnus | Physical Therapist | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2013-04-18 |
| 1659677060 | Virginia Marie Jurken | Physical Therapist | 700 Pilgrim Pkwy, Suite L9, Elm Grove, WI 53122-2063 | 2011-02-02 |
| 1669615019 | Karin Lynn Buckholdt | Physical Therapist | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2009-04-15 |
| Find all providers in ELM GROVE | ||||
Please comment or provide details below to improve the information on MRS. ELIZABETH MARIE MORTAG.
| 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.