Kelly A Foust, PT
Individual provider Active NPI Physical Therapist · Oconto, WI
NPI 1376014266 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1376014266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 14510-24 (WI)
- Practice address
- Oconto Hospital and Medical Center Inc
820 Arbutus Ave
Oconto, WI 54153 - Phone
- (920) 835-1100
- Fax
- (920) 835-1099
- NPI assigned
- Dec 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190228000233 | WI | Practitioner - Physical Therapist in Private Practice | 7618216128 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14510-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Physical Therapist | Current |
Accepting new patients |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients |
Locations
218 S US Highway 141
Crivitz, WI 54114
Phone (715) 854-7477
555 Redbird Cir
De Pere, WI 54115
Phone (920) 338-6820
3263 Eaton Rd
Green Bay, WI 54311
Phone (920) 433-6000
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2714 Riverview Dr
Green Bay, WI 54313
Phone (920) 430-4760
430 S Clay St
Green Bay, WI 54301
Phone (920) 432-5231
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
833 S Main St
Oconto Falls, WI 54154
Phone (920) 338-6866
107 E Highland Dr
Oconto Falls, WI 54154
Phone (920) 846-0509
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14510-24 | WI | Yes |
Addresses
Primary practice location
Oconto Hospital and Medical Center Inc
820 Arbutus Ave
Oconto, WI 54153
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6700
Other practice location 2
107 E Highland Dr
Oconto Falls, WI 54154-1002
Phone (920) 846-3092
Other practice location 3
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
Other practice location 4
2714 Riverview Dr
Green Bay, WI 54313-6715
Phone (920) 430-4760
Other practice location 5
218 S Hwy 141
Crivitz, WI 54114-1677
Phone (715) 854-7761
Other names
- Kelly A Brofka
Other providers in Oconto, WI
- Jean Sophie Delforge
- Mark Daniel Dittloff
- Lori Jo Eklund Walsh
- Michele Exworthy
- Kirstin L Filkey
- Gondeck Services LLC
- Green Bay Allergy Asthma & Immunology S.C. Oconto
- Kimberly Guerrero
- Christopher Hanke
- Charles J Heyka
All providers in Oconto, 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 Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.