Chad C Larson (NPI# 1568618692, PAC ID# 2860796299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1568618692 |
| PAC ID by PECOS | 2860796299 |
| Professional Enrollment ID | I20160205000502 |
| Full Name | Chad C Larson |
| Organization Legal Name | SUNDANCE REHABILITATION LLC |
| Address |
597 Kingswood Ave Fond Du Lac WI 54935-6399 |
| Phone Number | 9202383032 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7911815329 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 | 9202383032 | SUNDANCE REHABILITATION LLC |
| Organization Legal Name | SUNDANCE REHABILITATION LLC |
| Physicians | 59 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Sexton | Physical Therapy | Sundance Rehabilitation LLC | 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 |
| Erin M Leanna | Physical Therapy | Sundance Rehabilitation LLC | 1880 Scheuring Rd C/o Artisan De Pere, De Pere, WI 54115-9160 |
| Erika A Vandenberg | Qualified Speech Language Pathologist | Sundance Rehabilitation LLC | 6109 Braun Rd, Mount Pleasant, WI 53403-9409 |
| Paula M Heller | Physical Therapy | Sundance Rehabilitation LLC | 533 E Calumet St, Bldg 2, Chilton, WI 53014-1649 |
| Amy J Champlin | Physical Therapy | Sundance Rehabilitation LLC | 4221 Kadlec Dr, Sheboygan, WI 53083-1777 |
| Jill S Schniepp | Physical Therapy | Sundance Rehabilitation LLC | 6902 Parkside Cir, Deforest, WI 53532-2560 |
| Deanna P Doraiswamy | Occupational Therapy | Sundance Rehabilitation LLC | 1880 Scheuring Rd, De Pere, WI 54115-9160 |
| Angela M Kongshaug | Qualified Speech Language Pathologist | Sundance Rehabilitation LLC | 6109 Braun Rd, Mount Pleasant, WI 53403-9409 |
| Julie A Andreoli | Occupational Therapy | Sundance Rehabilitation LLC | 6109 Braun Rd, Mount Pleasant, WI 53403-9409 |
| Sandra K Seuser | Physical Therapy | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Street Address |
597 KINGSWOOD AVE |
| City | FOND DU LAC |
| State | WI |
| Zip | 54935-6399 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Sexton | Physical Therapy | Sundance Rehabilitation LLC | 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 |
| Colleen L Schultz | Occupational Therapy | Sundance Rehabilitation LLC | 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 |
| Selena M Vanden Hoogen | Physical Therapy | Sundance Rehabilitation LLC | 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 |
| Meredith M Ottman | Occupational Therapy | Sundance Rehabilitation LLC | 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 |
| Lisa M Coulter | Speech Language Pathologist | Sundance Rehabilitation LLC | 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 |
| Meghan R Steffens | Occupational Therapy | Sundance Rehabilitation LLC | 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 |
| Kelly L Goodman | Occupational Therapy | Sundance Rehabilitation LLC | 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 |
| Melissa K Ramirez | Physical Therapy | Sundance Rehabilitation LLC | 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 |
| Alexia A Rebne | Occupational Therapy | Sundance Rehabilitation LLC | 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 |
| Rebecca S Okeefe | Occupational Therapy | Sundance Rehabilitation LLC | 597 Kingswood Ave, Fond Du Lac, WI 54935-6399 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Purcell | Anesthesiology | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Ruth A Adene- Peter | Hospitalist | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Nicole A Hostetler | Nurse Practitioner | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Nydia C Ros | Hospitalist | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Cynthia M Griffin | Emergency Medicine | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Kelly M Olsen | Certified Registered Nurse Anesthetist (crna) | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Jennifer I Giesige | Psychiatry | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Abigail I Ruh | Psychologist, Clinical | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Michelle C Pesek Mccoy | Emergency Medicine | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Kristof T Gehrke | Critical Care (intensivists) | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Find all physicians in zip 54935 | |||
| City | FOND DU LAC |
| Zip Code | 54935 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FOND DU LAC + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Chad C Larson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.