Connor McCullough
Connor McCullough is a Physical Therapist in Private Practice in Columbus, Wisconsin. Qualified in 2024, 2 years ago. Practices with Prairie Ridge Health Inc, a 68-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 2
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
1515 Park AveColumbus, WI 53925-2402
Phone: (920) 623-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 16816-24 (WI) |
|---|
Record details
| NPI number | 1346082021 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 12, 2024 |
| Last updated in NPPES | June 12, 2024 |
| Certification date | June 12, 2024 |
| Mailing address | 1515 Park Ave, Columbus, WI 53925-2402 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Prairie Ridge Health Inc — 68 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Columbus
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Nicole Kessinger
200 W School St, Columbus, WI 53925-1453 · (920) 623-5950
-
Andrew Larson, PT, DPT, MS, CMI
1515 Park Ave, Columbus, WI 53925-2402 · (920) 623-2200
-
Lori Lawrence, PT
1515 Park Ave, Columbus, WI 53925-1618 · (920) 623-1430
-
Mrs. Lynn M. Lenling, PHYSICALTHERAPIST
825 Western Ave, Columbus, WI 53925-1675 · (920) 623-2520
-
Sydney Mikulas, PT, DPT
1515 Park Ave, Columbus, WI 53925-2402 · (920) 623-2200
-
Brian S Phillips, PT
1515 Park Ave, Columbus, WI 53925-1618 · (920) 623-2200
-
Kimberly Schoenberger, PT
1515 Park Ave, Columbus, WI 53925-1618 · (920) 623-2200
-
Gabrielle Taschwer
1515 Park Ave, Columbus, WI 53925-2402 · (920) 623-2200