Jean Marie Prekop, P.T.
Individual provider Active NPI Physical Therapist · New Berlin, WI
NPI 1154493716 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1154493716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2048-024 (WI)
- Practice address
- 2895 S Moorland Rd
New Berlin, WI 53151-3743 - Phone
- (262) 782-9015
- Fax
- (262) 782-9013
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2048-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Injury Rehabilitation Clinic II, Inc. | Physical Therapist | Past |
Accepting new patients |
| Curative New Berlin Therapies, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2048-024 | WI | Yes |
Addresses
Primary practice location
2895 S Moorland Rd
New Berlin, WI 53151-3743
Mailing address
S85W17850 Woods Rd
Muskego, WI 53150-9454
Phone (262) 679-8998
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40058500 | Medicaid | WI |
Other providers in New Berlin, WI
- Anthony Porcaro
- Positively PT LLC
- Annette Postma
- Samantha Powell
- Gabrielle Prehn
- Mohammed Mehdi Premjee
- Michelle V Prescott
- Prnrx
- Prohealth Medical Group Inc
- Tina Prueher
All providers in New Berlin, 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 Jul 9, 2007. 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.