Dr RX Exercise

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DR RX EXERCISE

Practice address

880 Oneida St
Menasha, WI 54952-2601

Phone

(920) 729-8211

Fax

(920) 729-9533

NPI assigned

Jan 11, 2012

Last updated

Jan 11, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David L Brown, MS

Title

President/Ceo

Phone

(920) 915-9649

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1003186784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 ONEIDA ST",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522601",
            "telephone_number": "920-729-8211",
            "fax_number": "920-729-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ONEIDA ST",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522601",
            "telephone_number": "920-729-8211",
            "fax_number": "920-729-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RX EXERCISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "920-915-9649",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Dominowski, LPC-IT, SAC-IT
• Lawrence R Donatelle, MD
• Brittany Dorn, PT
• Holly Dorn, SAPA
• Sherrill D Downey, LCSW
• Lynne Drews
• Taylor Elizabeth Duchow
• Catherine L Duncan, LM,CPM
• Heidi Ann Duxbury, COTA
• Sankalp Dwivedi

• Specialist in Menasha, WI
• Providers in Menasha, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.