MEDICARE: JAMES G WOLLET PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2637-024	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578530739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES G WOLLET PT

Provider Business Mailing Address
First Line	:	3433 VALLEY SPRING RD
Second Line	:
City	:	MOUNT HOREB
State	:	WI
Zip	:	53572-1239
Country	:	US
Telephone Number	:	608-798-3069
Fax Number	:

Provider Business Practice Location Address
First Line	:	3433 VALLEY SPRING RD
Second Line	:
City	:	MOUNT HOREB
State	:	WI
Zip	:	53572-1239
Country	:	US
Telephone Number	:	608-798-3069
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1376510081 — TOWN OF MT. MORRIS
Practice Location Address:

103 MAIN ST
MOUNT MORRIS, NY
14510-1239

Practice Phone: 585-658-2730
Practice Fax: 585-658-3021

1982894093 — TAMARA GRIFFITH
Practice Location Address:

1239 MOUNT VERNON ST
ORLANDO, FL
32803-5417

Practice Phone: 407-810-2773
Practice Fax:

1134310766 — BACK IN MOTION CHIROPRACTIC & REHAB, LLC
Practice Location Address:

1239 MOUNT VERNON AVE # B
MARION, OH
43302-5624

Practice Phone: 740-725-8200
Practice Fax: 740-725-9020

1649502154 — ANNA MICHELLE MONTEMURRO
Practice Location Address:

1239 MOUNT VERNON ST
ORLANDO, FL
32803-5417

Practice Phone: 407-810-2773
Practice Fax: 407-867-6203

1902124324 — ALLIANCE HEALTHCARE STAFFING CORP.
Practice Location Address:

1239 MOUNT VERNON ST
ORLANDO, FL
32803-5417

Practice Phone: 321-251-7627
Practice Fax: 321-445-6072

1215294962 — MARK JOHN HAINES ATC
Practice Location Address:

520 JACKSONVILLE ROAD
MOUNT HOLLY, NJ
08060-1239

Practice Phone: 609-267-0837
Practice Fax: 609-702-0835

Directions to “ JAMES G WOLLET PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.