Excelrehab & Spine Center, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EXCELREHAB & SPINE CENTER, INC.

Practice address

902 Boyce Dr
Rhinelander, WI 54501

Phone

(715) 358-1929

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Mary Hebert

Title

Office Manager

Phone

(715) 358-1929

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 8

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

• Jacalyn Joan Gaulke

  • Occupational Therapist
  • Oshkosh, WI
  • NPI 1891909313
  NPD (past)
• Bart Hebert, PT

  • Physical Therapist
  • Minocqua, WI
  • NPI 1245349083
  NPD (past)
• Mary Jane Keller, OTR CHT

  • Occupational Therapist
  • Minocqua, WI
  • NPI 1326129867
  NPD (past)
• Mark H Killian, P.T., L.A.T.

  • Physical Therapist
  • Rhinelander, WI
  • NPI 1831208693
  NPD (past)
• Rebecca L Kretlow

  • Occupational Therapist
  • Rhinelander, WI
  • NPI 1417048901
  NPD (past)
• Judith A Larson, PT

  • Physical Therapist
  • Thorp, WI
  • NPI 1043251267
  NPD (past)
• Nancy T. Nesbit, DPT, LAT, CSCS

  • Physical Therapist
  • Park Falls, WI
  • NPI 1790829455
  NPD (past)
• Cheryl J Sell, OT

  • Occupational Therapist
  • Woodruff, WI
  • NPI 1982787479
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043411358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545480011",
            "telephone_number": "715-358-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BOYCE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "54501",
            "telephone_number": "715-358-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELREHAB & SPINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-358-1929"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40429300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Physical Therapist in Wisconsin

• 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.