Sport & Spine Clinic of Fort Atkinson Limited Partnership

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP

Doing business as

Sport & Spine Clinic of Edgerton

Practice address

119 Henry Street
Edgerton, WI 53534

Phone

(608) 884-8514

Fax

(608) 884-8524

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Janna P. King, JD

Title

VP, Authorized Official

Phone

(713) 297-7000

Specialties & licenses 1

Addresses

Other names 1

• Sport & Spine Clinic of Edgerton Doing business as

Practitioners 1

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

• William Jack Rein, MPT

  • Physical Therapist
  • Appleton, WI
  • NPI 1447219845
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1184812612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422447",
            "telephone_number": "713-297-7000",
            "fax_number": "713-297-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HENRY STREET",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "53534",
            "telephone_number": "608-884-8514",
            "fax_number": "608-884-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sport & Spine Clinic of Edgerton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orlando Darnell Smart, SLP
• Erin Leigh Smerchek, PHARMD, RPH
• Rachel E Snow
• Southern Wisconsin Medical Associates SC
• Sarah Splitter, RN
• Lydia Stevenson, RDN
• Charlene Fay Stipes, PTA
• Joni E Sund, PA C
• Lai Thao, PA-C
• Thomas H Reitz DDS SC

• Physical Therapy Clinic/Center in Edgerton, WI
• Providers in Edgerton, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.