Organization Active NPI

Sport & Spine Clinic of Fort Atkinson Limited Partnership

  • Physical Therapist
  • Sauk City, WI
National Provider Identifier
1073775730
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP
Practice address
944 Water St
Sauk City, WI 53583-1535
Phone
(608) 643-3495
Fax
(608) 643-6719
NPI assigned
Jun 25, 2008
Organization subpart
Yes
Parent organization
SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Richard Binstein, JD
Title
VP, Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

944 Water St
Sauk City, WI 53583-1535

Mailing address

944 Water St
Sauk City, WI 53583-1535
Phone (608) 643-3495

National Provider Directory

National Provider Directory
Part of
Sport and Spine Clinic of Fort Atkinson Limited Partnership

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1073775730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 WATER ST",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831535",
            "telephone_number": "608-643-3495",
            "fax_number": "608-643-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 WATER ST",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831535",
            "telephone_number": "608-643-3495",
            "fax_number": "608-643-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP",
        "enumeration_date": "2008-06-25",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.