Organization Active NPI

Tri-City Physical Therapy & Sports Medicine SC

  • Physical Therapy Clinic/Center
  • Marinette, WI
National Provider Identifier
1013076652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1758-024 Issued in WI
Legal business name
TRI-CITY PHYSICAL THERAPY & SPORTS MEDICINE SC
Practice address
602 Wells St
Marinette, WI 54143-1304
Phone
(715) 735-9388
Fax
(715) 735-9398
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kim Barrette, PTNPI 1346360898
Title
President
Phone
(715) 735-9388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1758-024 WI Primary

Addresses

Primary practice location

602 Wells St
Marinette, WI 54143-1304

Mailing address

602 Wells St
Marinette, WI 54143-1304
Phone (715) 735-9388

National Provider Directory

National Provider Directory

Locations

602 Wells St
Marinette, WI 54143
Phone (715) 735-9388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013076652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 WELLS ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431304",
            "telephone_number": "715-735-9388",
            "fax_number": "715-735-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 WELLS ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431304",
            "telephone_number": "715-735-9388",
            "fax_number": "715-735-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY PHYSICAL THERAPY & SPORTS MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRETTE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-735-9388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "1758-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.