NPIMap

Organization Active NPI

Comprehensive Orthopaedics SC

Doing business as Comprehensive Orthopaedics Advanced Imaging and Rehab Center

  • Physical Therapy Clinic/Center
  • Kenosha, WI
National Provider Identifier
1194611939
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COMPREHENSIVE ORTHOPAEDICS SC
Doing business as
Comprehensive Orthopaedics Advanced Imaging and Rehab Center
Practice address
6804 Green Bay Rd Ste 108
Kenosha, WI 53142-1451
Phone
(262) 764-5595
NPI assigned
Jun 17, 2025
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPREHENSIVE ORTHOPAEDICS SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Kristin Spiedel
Title
Operations Manager
Phone
(262) 764-5891

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU
Occupational Therapist 225X00000X NU
Physical Therapy Clinic/Center 261QP2000X NU Primary
Occupational Medicine Clinic/Center 261QX0100X NU
Physical Rehabilitation Occupational Therapist 225XP0019X NU

Addresses

Primary practice location

6804 Green Bay Rd Ste 108
Kenosha, WI 53142-1451

Mailing address

7401 104TH Ave Ste 110
Kenosha, WI 53142-7845
Phone (262) 764-5891

Other identifiers 2

IdentifierTypeStateIssuer
1295717445OtherWIGROUP NPI
32809300MedicaidWI

Other names 1

  • Comprehensive Orthopaedics Advanced Imaging and Rehab Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251023003802 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375445497 Receives reassigned benefits from 2 practitioners
Practice locations: Kenosha, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Comprehensive Ortho SC

Locations

1757 Milwaukee Ave
#B
Burlington, WI 53105
Phone (262) 764-5595

5027 Green Bay Rd
Ste 120
Kenosha, WI 53144
Phone (262) 656-3525

6308 8th Ave
#505
Kenosha, WI 53143
Phone (262) 656-3525

6308 8th Ave
Ste 505
Kenosha, WI 53143
Phone (262) 656-3525

7137 236th Ave
Ste 110
Salem, WI 53168
Phone (262) 764-5595

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1194611939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 104TH AVE STE 110",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427845",
            "telephone_number": "262-764-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 GREEN BAY RD STE 108",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531421451",
            "telephone_number": "262-764-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE ORTHOPAEDICS SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE ORTHOPAEDICS SC",
        "enumeration_date": "2025-06-17",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "SPIEDEL",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "262-764-5891"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1295717445",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32809300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Orthopaedics Advanced Imaging and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.