BRYAN CANFIELD (NPI# 1528002904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528002904 |
| Entity Type | Individual |
| Full Name | BRYAN CANFIELD |
| Practice Address |
1475 W Grand Ave Port Washington WI 53074-2074 |
| Practice Telephone | 2622685100 |
| Practice Fax Number | 2623292731 |
| Mailing Telephone | 2622685100 |
| Mailing Fax Number | 2623292731 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 4880 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1528002904 | 05 |
| Street Address |
1475 W GRAND AVE |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396239182 | Breanne N Geipel | Physical Therapist | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2018-06-15 |
| 1558742726 | Christopher M Eernisse | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2015-06-14 |
| 1861741365 | Alesha J Ewig | Physician Assistant | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2012-08-30 |
| 1720303670 | Anna V Kleyman | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2010-04-05 |
| 1619108537 | Aurora Advanced Healthcare Inc. | Durable Medical Equipment & Medical Supplies | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2009-07-28 |
| 1306953278 | Scot A Wilfong | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2006-08-24 |
| 1851408231 | Tedmond R O'reilly | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2006-08-23 |
| 1639284706 | Mark R Fitzsimmons | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2006-08-20 |
| 1306870522 | Aurora Pharmacy Inc | Pharmacy | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2006-07-11 |
| 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 | 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 |
|---|---|---|---|---|
| 1922508035 | Julie M Coulson | Physical Therapist | 8330 Tschudy Hill Rd Sw, Port Washington, OH 43837-9200 | 2018-02-15 |
| 1144689696 | One-care Physical Therapy Pllc | Physical Therapist | 45 B Dunwood Rd, Port Washington, NY 11050 | 2016-02-12 |
| 1427445576 | Zulmary Andino | Physical Therapist | 45 Dunwood Rd, Port Washington, NY 11050-1635 | 2015-04-15 |
| 1184017246 | Dana Silbert | Physical Therapist | 40 Wakefield Ave, Port Washington, NY 11050-4443 | 2015-03-13 |
| 1831534304 | Joann Kinneary | Physical Therapist | 84 Roger Dr, Port Washington, NY 11050-2528 | 2013-05-09 |
| 1699052076 | Clare H Larosa | Physical Therapist | 1474 Middle Neck Rd, Port Washington, NY 11050-1918 | 2011-11-14 |
| 1669769311 | Sonal Deepak Doshi | Physical Therapist | 78 Bogart Ave, Port Washington, NY 11050-3320 | 2011-07-01 |
| 1164714200 | Sibylle K. Garrett, Physical Therapy, P.C. | Physical Therapist | 27 Dunwood Rd, Port Washington, NY 11050-1638 | 2011-05-09 |
| 1518268333 | Elizabeth Papa Simons | Physical Therapist | 38 Beachway, Port Washington, NY 11050-3408 | 2010-11-10 |
| 1245530963 | Jody A Lograsso | Physical Therapist | 9 Hawthorne Ave, Port Washington, NY 11050-4410 | 2010-10-27 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
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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.