Active NPI
Orthopedic & Spine Therapy of Ladysmith SC
- Physical Therapist
- Ladysmith, WI
National Provider Identifier
1003825985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ORTHOPEDIC & SPINE THERAPY OF LADYSMITH SC
- Practice address
- 400 W 9TH St N
Ladysmith, WI 54848-1252 - Phone
- (715) 532-3439
- Fax
- (715) 532-0120
- NPI assigned
- Aug 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Steven Barnett, PT
- Title
- Owner-President
- Phone
- (920) 257-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | WI | Primary |
Addresses
Primary practice location
400 W 9TH St N
Ladysmith, WI 54848-1252
Mailing address
4000 N. Providence Avenue
Appleton, WI 54913-8018
Phone (920) 257-2000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121630 | Other | WI | HEALTH PARTNERS |
| 4136290001 | Other | WI | AMERICHOICE |
| 41751800 | Medicaid | WI | |
| DE9938 | Other | WI | RAILROAD MEDICARE |
| 40425400 | Medicaid | WI | |
| 609586900 | Other | WI | US DEPT OF LABOR |
National Provider Directory
National Provider DirectoryLocations
1000 Midway Rd
Menasha, WI 54952
Phone (920) 257-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426723200000",
"number": "1003825985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 N. PROVIDENCE AVENUE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138018",
"telephone_number": "920-257-2000",
"fax_number": "920-257-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 9TH ST N",
"city": "LADYSMITH",
"state": "WI",
"postal_code": "548481252",
"telephone_number": "715-532-3439",
"fax_number": "715-532-0120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC & SPINE THERAPY OF LADYSMITH SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2015-03-19",
"status": "A",
"authorized_official_last_name": "BARNETT",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "OWNER-PRESIDENT",
"authorized_official_telephone_number": "920-257-2000",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "121630",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "4136290001",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41751800",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE9938",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40425400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "609586900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ladysmith, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.