Rejaunne M Kubik, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4885-24 Issued in WI

Practice address

2763 Manitowoc Rd
Ste B
Green Bay, WI 54311-6633

Phone

(920) 468-8288

Fax

(920) 468-9887

NPI assigned

Nov 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rejaunne M Eisenman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bellevue Total Health, SC

  • Occupational Health Nurse Practitioner
  • Green Bay, WI
  • NPI 1447203013
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1174703235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 MANITOWOC RD",
            "address_2": "STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116633",
            "telephone_number": "920-468-8288",
            "fax_number": "920-468-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2763 MANITOWOC RD",
            "address_2": "STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116633",
            "telephone_number": "920-468-8288",
            "fax_number": "920-468-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIK",
        "first_name": "REJAUNNE",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4885-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4885-24",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REJAUNNE",
            "last_name": "EISENMAN",
            "middle_name": "M",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Ann Kruschke, RD, CDE
• Cynthia L Kryzanek, RN
• Jesse Joseph Krzyzanowski, P.T.
• Naomi K Krzyzanowski, PT
• Peggy Kubiak, LPC-T, SAC-IT
• Joseph Kucksdorf, PT
• Briana Kudick, APNP
• Ryan D Kuefler, M.D.
• Emily Kuester
• David Michael Kufner, DO

• Physical Therapist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.