NPIMap

Organization Active NPI

Sport & Spine Clinic of Fort Atkinson Limited Partnership

  • Physical Therapist
  • Johnson Creek, WI
National Provider Identifier
1093207904
Registry record updated Jun 6, 2018
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
540 Village Walk LN Ste F
Johnson Creek, WI 53038-9554
Phone
(920) 699-9356
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Richard Binstein
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

540 Village Walk LN Ste F
Johnson Creek, WI 53038-9554

Mailing address

540 Village Walk LN Ste F
Johnson Creek, WI 53038-9554

National Provider Directory

National Provider Directory

Locations

119 N Henry St
Edgerton, WI 53534
Phone (312) 636-0011

825 Lexington Blvd
Ste 2
Fort Atkinson, WI 53538
Phone (920) 568-9739

1550 Madison Ave
Ste 102
Fort Atkinson, WI 53538
Phone (877) 337-6747

100 N Main St
Ste 204
Jefferson, WI 53549
Phone (920) 674-7767

480 Village Walk Ln
Unit 1
Johnson Creek, WI 53038
Phone (920) 699-4201

4343 East Towne Way
Madison, WI 53704
Phone (608) 665-2859

1508 S Church St
Watertown, WI 53094
Phone 8009744378 ext. 1948

Practitioners & affiliated clinicians

Practitioners 8

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": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1093207904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 VILLAGE WALK LN STE F",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 VILLAGE WALK LN STE F",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389554",
            "telephone_number": "920-699-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "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"
    },
    "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 Johnson Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.