SAMANTHA BROVELLI (NPI# 1881090579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881090579 |
| Entity Type | Individual |
| Full Name | SAMANTHA BROVELLI |
| Credential | PT |
| Practice Address |
110 Lone Oak Ln Hartford Health Center Hartford WI 53027-2600 |
| Practice Telephone | 2626701800 |
| Practice Fax Number | 2628361601 |
| Mailing Telephone | 2626701800 |
| Mailing Fax Number | 2628361601 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2016-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 12864 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1881090579 | 05 |
| Street Address |
110 LONE OAK LN HARTFORD HEALTH CENTER |
| City | HARTFORD |
| State | WI |
| Zip Code | 53027-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348031 | Robert George Cesarec | Family Medicine | 110 Lone Oak Ln, Hartford Health Center, Hartford, WI 53027-2600 | 2005-07-07 |
| 1952832495 | Eric Uting | Family Medicine | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2017-03-26 |
| 1942689047 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Clinical Medical Laboratory | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2015-05-21 |
| 1205227501 | Marie Kujawa | Physical Therapist | 110 Lone Oak Ln, Hartford Health Center, Hartford, WI 53027-2600 | 2015-02-09 |
| 1235539826 | Elizabeth Baldwin | Nurse Practitioner | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2014-09-02 |
| 1114330123 | Gretchen Rakowski | Physical Therapist | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2014-06-06 |
| 1609214121 | Froedtert & The Medical College of Wisconsin Community Physicians | Durable Medical Equipment & Medical Supplies | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2013-06-06 |
| 1235271958 | Edward Cooney | Internal Medicine | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2007-02-12 |
| 1326057795 | West Bend Clinic, Inc. | Obstetrics & Gynecology | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2006-08-05 |
| 1891752903 | Terrence P Hughes | Family Medicine | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| 1700390242 | Dr. Espinosa Dds Tooth Or Gum, LLC | Dentist | 784 South Main St, Hartford, WI 53027 | 2017-11-20 |
| 1598169559 | Amy Jo Hoeppner | Registered Nurse | 1621 Falcon Dr., Hartford, WI 53027 | 2014-10-20 |
| 1205179918 | Susan Aleen Sterman | Technician | 4835 Cty Rd U, Hartford, WI 53027 | 2013-04-01 |
| 1881927713 | Ross Timothy Koehler | Specialist/Technologist | 1900 W Sumner St, Hartford, WI 53027 | 2009-09-10 |
| 1518130004 | Kamalpreet Dulai | Family Medicine | 110 Lone Oak Lane, Hartford, WI 53027 | 2008-04-07 |
| 1679775688 | Kelly M Schroeder | Physical Therapist | 1640 E. Sumner Street, Hartford, WI 53027 | 2007-06-01 |
| 1871794453 | Sandra Ann Weber | Registered Nurse | 4815 North Merton Drive, Hartford, WI 53027 | 2007-05-30 |
| 1306051743 | Agnes P Dietenberger | Physical Therapy Assistant | 1640 E. Sumner St., Hartford, WI 53027 | 2007-05-11 |
| 1164636619 | Robert W Fulton | Physical Therapist | 1640 East Sumner Street, Hartford, WI 53027 | 2007-05-10 |
| Find all providers in zip 53027 | ||||
| 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 |
|---|---|---|---|---|
| 1043827728 | Ethan Aresta | Physical Therapist | 550 Avery Hts, Hartford, CT 06106-4272 | 2020-09-28 |
| 1639658818 | John Reinhold Decker | Physical Therapist | 46507 Lorraine Cir, Hartford, SD 57033-6937 | 2018-08-09 |
| 1295128171 | Khurrum Khan | Physical Therapist | 412 Farmington Ave, Apartment # 103, Hartford, CT 06105-4459 | 2015-03-16 |
| 1255723557 | Ricardo Wijndal | Physical Therapist | 14 Charter Oak Pl, Hartford, CT 06106-1961 | 2015-02-23 |
| 1891185922 | Cassandra Phillips | Physical Therapist | 52 Cowett Rd, Hartford, ME 04220-5504 | 2015-01-27 |
| 1164851895 | Theo Wilson | Physical Therapist | 16 Avery Hts, Hartford, CT 06106-4201 | 2013-11-04 |
| 1861754087 | Kelvin Valencia | Physical Therapist | 453 Summit St, Hartford, CT 06106-2354 | 2012-06-13 |
| 1790941094 | Amanda Jean Brewster | Physical Therapist | 1511 Bear Pond Rd, Hartford, ME 04220-5508 | 2008-08-06 |
| 1679775688 | Kelly M Schroeder | Physical Therapist | 1640 E. Sumner Street, Hartford, WI 53027 | 2007-06-01 |
| 1164636619 | Robert W Fulton | Physical Therapist | 1640 East Sumner Street, Hartford, WI 53027 | 2007-05-10 |
| Find all providers in HARTFORD | ||||
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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.