Mitali A Patel (NPI# 1104286723, PAC ID# 3678851128) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1104286723 |
| PAC ID by PECOS | 3678851128 |
| Professional Enrollment ID | I20161103001366 |
| Full Name | Mitali A Patel |
| Organization Legal Name | CHAD NOVASIC PT LTD |
| Address |
1300 S Greenbay Rd Suite 205 Racine WI 53406-4469 |
| Phone Number | 2628983930 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2567365141 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1300 S Greenbay Rd, Suite 205, Racine, WI 53406-4469 | 2628983930 | CHAD NOVASIC PT LTD |
| 1300 S Greenbay Rd, Racine, WI 53406-4469 | 2628983930 | CHAD NOVASIC PT LTD |
| Organization Legal Name | CHAD NOVASIC PT LTD |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Suzanne Wangrow | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Kimberly R Wiechmann | Physical Therapy | Chad Novasic Pt Ltd | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 |
| Karen A Aderhold | Physical Therapy | Chad Novasic Pt Ltd | 1300 S Greenbay Rd, Racine, WI 53406-4469 |
| Futachai Rasavong | Physical Therapy | Chad Novasic Pt Ltd | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 |
| Paul W Potos | Physical Therapy | Chad Novasic Pt Ltd | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 |
| Ryan M Garman | Physical Therapy | Chad Novasic Pt Ltd | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 |
| Brian J Mcgee | Physical Therapy | Chad Novasic Pt Ltd | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 |
| Daniel Gage | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Mark J Neu | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Alexander C Drake | Physical Therapy | Chad Novasic Pt Ltd | 9120 W Capitol Dr, Milwaukee, WI 53222-1622 |
| Street Address |
1300 S GREENBAY RD SUITE 205 |
| City | RACINE |
| State | WI |
| Zip | 53406-4469 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen A Aderhold | Physical Therapy | Chad Novasic Pt Ltd | 1300 S Greenbay Rd, Racine, WI 53406-4469 |
| Amanda Staffen | Physical Therapy | Chad Novasic Pt Ltd | 1300 S Greenbay Rd, Suite 205, Racine, WI 53406-4469 |
| Julie A Soyka | Physical Therapy | Chad Novasic Pt Ltd | 1300 S Greenbay Rd, Suite 205, Racine, WI 53406-4469 |
| Phonso C Smith | Physical Therapy | Chad Novasic Pt Ltd | 1300 S Greenbay Rd, Racine, WI 53406-4469 |
| Cari B Kuehmichel | Physical Therapy | Chad Novasic Pt Ltd | 1300 S Greenbay Rd, Racine, WI 53406-4469 |
| Joshua J Dahlke | Physical Therapy | Chad Novasic Pt Ltd | 1300 S Greenbay Rd, Suite 205, Racine, WI 53406-4469 |
| Jill M Paque | Physical Therapy | Chad Novasic Pt Ltd | 1300 S Greenbay Rd, Racine, WI 53406-4469 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack A Plate | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Susan E Moore Schneider | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Karla J Bidstrup | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Renee M Beck-santiago | Nurse Practitioner | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Kathleen R Rothmeyer | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Daniel R Algrim | Chiropractic | 5332 Spring St, Mount Pleasant, WI 53406-2910 | |
| John R Fisher | Chiropractic | 5332 Spring St, Mount Pleasant, WI 53406-2910 | |
| Brian J Trautman | Chiropractic | 5332 Spring St, Mount Pleasant, WI 53406-2910 | |
| Justin J Woods | Family Medicine | 5401 Spring St, Mt Pleasant, WI 53406-2911 | |
| Tammy L Zimmel | Psychologist, Clinical | 1135 N Green Bay Rd, Mount Pleasant, WI 53406-3501 | |
| Find all physicians in zip 53406 | |||
| City | RACINE |
| Zip Code | 53406 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | RACINE + PHYSICAL THERAPY |
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| 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.