Jordan L Mortensen (NPI# 1447770664, PAC ID# 4486929940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1447770664 |
| PAC ID by PECOS | 4486929940 |
| Professional Enrollment ID | I20171009003527 |
| Full Name | Jordan L Mortensen |
| Organization Legal Name | CAPITOL PHYSICAL THERAPY LLC |
| Address |
411 Prairie Heights Dr Suite 101 Verona WI 53593-2238 |
| Phone Number | 6088486628 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7315927803 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 411 Prairie Heights Dr, Suite 101, Verona, WI 53593-2238 | 6088486628 | CAPITOL PHYSICAL THERAPY LLC |
| Organization Legal Name | CAPITOL PHYSICAL THERAPY LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel R Oehler | Physical Therapy | Capitol Physical Therapy LLC | 1215 Springdale St, Mount Horeb, WI 53572-2016 |
| Kelly C Mueller | Physical Therapy | Capitol Physical Therapy LLC | 416 E Verona Ave, Verona, WI 53593-1227 |
| Kevin R Wait | Physical Therapy | Capitol Physical Therapy LLC | 1266 W Main St, Sun Prairie, WI 53590-1918 |
| Garett F Rogstad | Physical Therapy | Capitol Physical Therapy LLC | 1215 Springdale St, Mount Horeb, WI 53572-2016 |
| Kari M Martin | Physical Therapy | Capitol Physical Therapy LLC | 416 E Verona Ave, Verona, WI 53593-1227 |
| Tyler S Harrington | Physical Therapy | Capitol Physical Therapy LLC | 416 E Verona Ave, Verona, WI 53593-1227 |
| Julie M Sullivan | Physical Therapy | Capitol Physical Therapy LLC | 416 E Verona Ave, Verona, WI 53593-1227 |
| Sarah M Stineman | Physical Therapy | Capitol Physical Therapy LLC | 411 Prairie Heights Dr, Suite 101, Verona, WI 53593-2238 |
| Heidi Pyfferoen | Physical Therapy | Capitol Physical Therapy LLC | 416 E Verona Ave, Verona, WI 53593-1227 |
| Bradley B Russell | Physical Therapy | Capitol Physical Therapy LLC | 416 E Verona Ave, Verona, WI 53593-1227 |
| Street Address |
411 PRAIRIE HEIGHTS DR SUITE 101 |
| City | VERONA |
| State | WI |
| Zip | 53593-2238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah M Stineman | Physical Therapy | Capitol Physical Therapy LLC | 411 Prairie Heights Dr, Suite 101, Verona, WI 53593-2238 |
| Elizabeth M Rand | Physical Therapy | Capitol Physical Therapy LLC | 411 Prairie Heights Dr, Suite 101, Verona, WI 53593-2238 |
| Julie M Lombardo | Physical Therapy | Capitol Physical Therapy LLC | 411 Prairie Heights Dr, Suite 101, Verona, WI 53593-2238 |
| Stacy M Wepking | Physical Therapy | Capitol Physical Therapy LLC | 411 Prairie Heights Dr, Verona, WI 53593-2238 |
| Daryl T Lamprey | Physical Therapy | Capitol Physical Therapy LLC | 411 Prairie Heights Dr, Suite 101, Verona, WI 53593-2238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Namrata Magar | Family Medicine | University of Wisconsin Medical Foundation Inc | 100 N Nine Mound Rd, Verona, WI 53593-1032 |
| Mark William Wirtz | Family Medicine | University of Wisconsin Medical Foundation Inc | 100 N Nine Mound Rd, Verona, WI 53593-1032 |
| Anna M Gretzinger | Physician Assistant | University of Wisconsin Medical Foundation Inc | 100 N Nine Mound Rd, Verona, WI 53593-1032 |
| Karina A Atwell | Family Medicine | University of Wisconsin Medical Foundation Inc | 100 N Nine Mound Rd, Verona, WI 53593-1032 |
| Sarah K Schumacher | Registered Dietitian Or Nutrition Professional | University of Wisconsin Medical Foundation Inc | 100 N Nine Mound Rd, Verona, WI 53593-1032 |
| Sarah J James | Family Medicine | University of Wisconsin Medical Foundation Inc | 100 N Nine Mound Rd, Verona, WI 53593-1032 |
| Eva K Allen | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 100 N Nine Mound Rd, Verona, WI 53593-1032 |
| Sarah M Williamson | Physician Assistant | University of Wisconsin Medical Foundation Inc | 100 N Nine Mound Rd, Verona, WI 53593-1032 |
| Bruce P Barrett | Family Medicine | University of Wisconsin Medical Foundation Inc | 100 N Nine Mound Rd, Verona, WI 53593-1032 |
| Heidi Stokes | Physician Assistant | University of Wisconsin Medical Foundation Inc | 100 N Nine Mound Rd, Verona, WI 53593-1032 |
| Find all physicians in zip 53593 | |||
| City | VERONA |
| Zip Code | 53593 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | VERONA + 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.