Orthopedic & Spine Therapy of New London, SC
Organization Active NPI Physical Therapy Clinic/Center · Hortonville, WI
NPI 1164080388 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1164080388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- ORTHOPEDIC & SPINE THERAPY OF NEW LONDON, SC
- Practice address
- 315 E Main Street
Suite 400
Hortonville, WI 54944 - Phone
- (920) 257-2000
- Fax
- (920) 257-2004
- NPI assigned
- Jun 3, 2019
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy M Barnett
- Title
- Administrator
- Phone
- (920) 257-2005
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Practitioners 28
-
Katelyn M Basden, DPT
-
Anna Evers, PT, DPT
-
Jenna Packer, OT
-
Anisah Rahaman, DPT
-
Charlene Schmidt, DPT
-
Nyssa Schneider, DPT
-
Jill I. Timm, PT
-
Joseph R. Waller, P.T.
-
Rhonda L Yeska, PT
-
Carrie J. Burger, PT
-
Kendra L. Cichy, DPT
-
Jeremy D. Cross, M.S.P.T.
-
David F. Erdmann, PT
-
Emily J. Ladd, PT
-
Michael A. Last, PT
-
Todd Lohr Loehrke, PT, DPT
-
Andrew Pipping, PTA
-
Melody Riemer, PTA
-
Curt J. Riley, P.T.
-
Brett Roberts, DPT
-
Patrick R Schuh, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041105000588 | WI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6901869411 |
Receives reassigned benefits from 20 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hortonville, WI; New London, WI |
National Provider Directory
- Tax ID family
- Orthopedic Spine Therapy of New London
Locations
315 Burton Rd
Ste 107
New London, WI 54961
Phone (920) 982-3670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
315 E Main Street
Suite 400
Hortonville, WI 54944
Mailing address
1000 Midway Rd
Menasha, WI 54952-1116
Phone (920) 257-2005
Other providers in Hortonville, WI
- Joleen Linn
- Taylor Marie McElwee
- Emily Anne Mooren
- Charles Lee Nieuwenhuis
- Molly Oleson
- Otter Creek Dental, LLC
- Colette A. Probasco
- Mitzi Julann Rabe
- Sarah C Reynolds
- Aaron Rohde
All providers in Hortonville, WI · Physical Therapy Clinic/Center 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 16, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.