Provider Demographics
NPI:1114117900
Name:BATWINSKI, ERIN ELIZABETH (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ELIZABETH
Last Name:BATWINSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ELIZABETH
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:600 52ND ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53140-3423
Mailing Address - Country:US
Mailing Address - Phone:262-925-5000
Mailing Address - Fax:262-925-5001
Practice Address - Street 1:3620 57TH AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53144-4924
Practice Address - Country:US
Practice Address - Phone:262-925-5250
Practice Address - Fax:262-925-5251
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11192225100000X
WI10846-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI36145100Medicaid
WI0604410001OtherDMERC
WI004885940OtherMEDICARE NUMBER
WIP01113288OtherRAILROAD MEDICARE