Actra Rehabilitation Associates Inc
Organization Active NPI Prosthetic/Orthotic Supplier · Oshkosh, WI
NPI 1073588992 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1073588992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- ACTRA REHABILITATION ASSOCIATES INC
- Practice address
- 1931 S Washburn St
Oshkosh, WI 54904-7247 - Phone
- (920) 426-1231
- Fax
- (920) 231-8006
- NPI assigned
- Feb 22, 2006
- Organization subpart
- No
Authorized official
- Name
- John Duggan
- Title
- Chief Legal Officer
- Phone
- (717) 972-1100
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 4
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Novacare Prosthetics & Orthotics |
Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Lymphedema Compression Treatment Items | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930088675 | WI | DME Supplier - Orthotic Personnel |
1153448337 | Practice locations: Oshkosh, WI |
National Provider Directory
- Tax ID family
- Actra Rehabilitation Associates Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
1931 S Washburn St
Oshkosh, WI 54904-7247
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41789900 | Medicaid | WI |
Other names
- NovaCare Prosthetics & Orthotics
Other providers in Oshkosh, WI
- Jo Nel Marie (Christianson) Prey
- Joyce E Abbott
- Abby Amacher, LLC
- Greta Am Aberle
- Rami K Abumasmah
- Alan Randy Acuna
- Abdulmajid Adam
- Theresa Adamczyk
- Samantha Adams
- Paul A. Adamski
All providers in Oshkosh, WI · Prosthetic/Orthotic Supplier in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.