Resilience PT & Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RESILIENCE PT & PERFORMANCE

Practice address

730 Lake Park Rd
Menasha, WI 54952-8804

Phone

(920) 850-7622

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Ryan HolewinskiNPI 1518528645

Title

Physical Therapist

Phone

(920) 850-7622

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Ryan Holewinski, DPT

  • Physical Therapist
  • Appleton, WI
  • NPI 1518528645
  NPD Authorized official

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1265141840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 BERGHUIS DR",
            "city": "COMBINED LOCKS",
            "state": "WI",
            "postal_code": "541131600",
            "telephone_number": "920-850-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 LAKE PARK RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549528804",
            "telephone_number": "920-850-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE PT & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "HOLEWINSKI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "920-850-7622"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Anthony Rattray, MSW
• Alexander Reget, DPT
• Wendy Reha
• Caitlin M Reider, SAC
• Kevin Michael Reinhold
• Ann Reuter
• Revitalize Counseling Services LLC
• Samuel Ricker, PA
• Amy Joan Riesterer
• Rising Hope Family Counseling Center, LLC

• Physical Therapy Clinic/Center in Menasha, WI
• Providers in Menasha, 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 Nov 22, 2022; 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.