MEDICARE: GERAD DONAHUE DPT

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	13601-24	WI

General Provider Information

NPI Number	:	1013398510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERAD DONAHUE DPT

Provider Business Mailing Address
First Line	:	2105 E ENTERPRISE AVE STE 113
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54913-7862
Country	:	US
Telephone Number	:	920-991-2561
Fax Number	:	920-991-2563

Provider Business Practice Location Address
First Line	:	5000 W CHAMPION DR STE 113
Second Line	:
City	:	GRAND CHUTE
State	:	WI
Zip	:	54913-5000
Country	:	US
Telephone Number	:	920-560-1123
Fax Number	:	920-202-3535

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

Provider Enumeration Date	:	06/11/2015
Last Update Date	:	07/11/2025

Similar Medicare Providers

1063844124 — KYLE S SCHUMACHER DPT
Practice Location Address:

5000 W CHAMPION DR
GRAND CHUTE, WI
54913-5000

Practice Phone: 920-560-1123
Practice Fax:

1841781580 — ADAM J KIENERT
Practice Location Address:

5000 W CHAMPION DR STE 110
GRAND CHUTE, WI
54913-5000

Practice Phone: 920-560-1123
Practice Fax:

1538858857 — ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC
Practice Location Address:

5000 W CHAMPION DR
GRAND CHUTE, WI
54913-5000

Practice Phone: 920-560-1123
Practice Fax: 920-202-3535

1700448933 — CASSANDRA TIMMERS LAT
Practice Location Address:

5000 NORTH BALLARD ROAD
APPLETON, WI
54913-5491

Practice Phone: 920-832-4300
Practice Fax:

1043225121 — WALGREEN CO
Practice Location Address:

1305 N CASALOMA DR
GRAND CHUTE, WI
54913-8848

Practice Phone: 920-730-8218
Practice Fax: 920-730-8287

1477833127 — LAURA JASPERSON PHARM.D.
Practice Location Address:

1305 N CASALOMA DR
GRAND CHUTE, WI
54913-8848

Practice Phone: 920-730-8218
Practice Fax:

Directions to “ GERAD DONAHUE DPT” 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.