Sport and Spine Clinic of Fort Atkinson Limited Partnership

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPORT AND SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP

Practice address

480 Village Walk LN
Unit 1
Johnson Creek, WI 53038-9462

Phone

(920) 699-4201

Fax

(920) 699-4204

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Janna King, JD

Title

VP, Authorized Official

Phone

(713) 297-7000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265647978",
    "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": "480 VILLAGE WALK LN",
            "address_2": "UNIT 1",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389462",
            "telephone_number": "920-699-4201",
            "fax_number": "920-699-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT AND SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JANNA",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela J Schuhmacher, RN, PEDS VENT/TRACH
• Jessica Moore Schuster, MD
• Latisha A Smith-Chase, M.D.
• Kathryn L Spors, APRN, FNP
• Sport & Spine Clinic of Fort Atkinson Limited Partnership
• Stepping Stones Psychotherapy, LLC
• Clint Lee Sterwald
• Three Oaks Health S.C.
• Kimberly D Turner, DC
• University of Wisconsin Medical Foundation Inc

• Durable Medical Equipment & Medical Supplies in Johnson Creek, WI
• Providers in Johnson Creek, 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 Aug 22, 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.