Andrea Donaldson, PT, CSCS
Individual provider Active NPI Physical Therapist · Summit, WI
NPI 1144779398 · NPPES record last updated Sep 29, 2016
Key facts
- NPI
- 1144779398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 36500 Aurora Dr
Summit, WI 53066-4899 - Phone
- (262) 434-2600
- NPI assigned
- Sep 29, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
36500 Aurora Dr
Summit, WI 53066-4899
Mailing address
36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-2600
Other providers in Summit, WI
- Jill Demaster
- Meridith Ann Loe Derrig
- Elisa Marie Diermeier
- Alexandra Denise Disrud
- Andrew Roger Dodd
- Dennis Guy Dorow
- Michael L Douglass
- Kathleen Mary Duffy
- Mary K Duffy
- Erica M Dziatkiewicz
All providers in Summit, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.