NPIMap

Organization Active NPI

Chippewa Valley Orthopedics and Sports Medicine Clinic, SC

  • Physical Therapy Clinic/Center
  • Rice Lake, WI
National Provider Identifier
1023884376
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC, SC
Practice address
2200 Cedar Crest Dr Ste a
Rice Lake, WI 54868-5500
Phone
(715) 832-1400
Fax
(715) 832-4187
NPI assigned
Nov 28, 2023
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Austin J Crow, MDNPI 1386809325
Title
President
Phone
(715) 832-1400

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 Primary

Addresses

Primary practice location

2200 Cedar Crest Dr Ste a
Rice Lake, WI 54868-5500

Mailing address

1200 Oakleaf Way Ste a
Altoona, WI 54720-2217
Phone (715) 832-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805000011 WI Part B Supplier - Clinic/Group Practice 7618948399 Receives reassigned benefits from 34 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Altoona, WI; Stanley, WI; Spooner, WI; Shell Lake, WI; Rice Lake, WI; Ladysmith, WI; Hayward, WI; Durand, WI…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Chippewa Valley Orthopedics Sports Medicine Clinic SC

Locations

1200 Oakleaf Way
Ste A
Altoona, WI 54720
Phone (800) 322-1747

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

10405 Vermont Ave
Hayward, WI 54843
Phone (715) 699-1355

2021 Cenex Dr
Unit K
Rice Lake, WI 54868
Phone (715) 418-8900

2200 Cedar Crest Dr
Ste B
Rice Lake, WI 54868
Phone (586) 864-6006

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1023884376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY STE A",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202217",
            "telephone_number": "715-832-1400",
            "fax_number": "715-832-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CEDAR CREST DR STE A",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548685500",
            "telephone_number": "715-832-1400",
            "fax_number": "715-832-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC, SC",
        "enumeration_date": "2023-11-28",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-832-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.