MRS. THERESA A WYSOCKI (NPI# 1164623062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164623062 |
| Entity Type | Individual |
| Full Name | MRS. THERESA A WYSOCKI |
| Other Name | MRS. THERESA ANN WYSOCKI |
| Credential | B.E. |
| Practice Address |
575 Briarwood Ln Port Washington WI 53074-1322 |
| Practice Telephone | 2622844235 |
| Practice Fax Number | 2622844235 |
| Mailing Telephone | 2622844235 |
| Mailing Fax Number | 2622844235 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
N.A. | WI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316124035 | Theresa Wysocki | Physical Therapist | 890 Hammond St, Bangor, ME 04401-4328 | 2008-01-24 |
| Street Address |
575 BRIARWOOD LN |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386166551 | Zandra Diane Thomas | Specialist | 3109 N 53rd St, Milwaukee, WI 53216-3245 | 2017-07-10 |
| 1285096875 | Shari Mcfadden | Specialist | 1935 W Silver Spring Dr, Unit 4, Milwaukee, WI 53209-4445 | 2016-03-23 |
| 1316346505 | Connie Ann Lentz | Specialist | 2122 Hall Ave, Marinette, WI 54143-1721 | 2014-08-14 |
| 1942392063 | Janice R Vandehei | Specialist | W2143 Old Peshtigo Road, Marinette, WI 54143-9708 | 2006-09-28 |
| 1508963745 | Morfey's Limbs & Braces, Inc | Specialist | 1820 S Park St, Madison, WI 53713-1214 | 2006-09-20 |
| 1154649325 | Orthotics and Prosthetics Associates, Inc. | Specialist | 1111 Delafield St, Suite 200, Waukesha, WI 53188-3417 | 2010-05-12 |
| 1669692497 | Orthotics and Prosthetics Associates, Inc | Specialist | 10506 W Bluemound Rd, Milwaukee, WI 53226-4332 | 2007-04-26 |
| City | PORT WASHINGTON |
| Zip Code | 53074 |
Please comment or provide details below to improve the information on MRS. THERESA A WYSOCKI.
| 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.