Sport & Spine Clinic LP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPORT & SPINE CLINIC LP

Doing business as

Sport & Spine-Rib Mountain

Practice address

226831 Rib Mountain Dr
Wausau, WI 54401-3350

Phone

(715) 359-2500

Fax

(715) 359-2588

NPI assigned

Mar 30, 2009

Last updated

Mar 3, 2020By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Sport & Spine-Rib Mountain Doing business as

Locations

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1225270754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226831 RIB MOUNTAIN DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013350",
            "telephone_number": "715-359-2500",
            "fax_number": "715-359-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226831 RIB MOUNTAIN DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013350",
            "telephone_number": "715-359-2500",
            "fax_number": "715-359-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINE CLINIC LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sport & Spine-Rib Mountain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sport & Spine-Rib Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan Spindler, CST/CSFA
• Spine & Brain Group SC
• Rachael Splinter, LPC
• Sport & Spine Clinic L P (Sport & Spine)
• Sport & Spine Clinic L.P. (Sport & Spine-Rib Mountain)
• Sport & Spine Clinic LP (Sport & Spine)
• Calvin D. Sprik, M.D.
• Spring Into Life Chiropractic, LLC
• Tracy Denise Springer, SAC
• Ashley E St Clair, NP

• Durable Medical Equipment & Medical Supplies in Wausau, WI
• Providers in Wausau, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.