Post-Acute Physicians of Wisconsin SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

POST-ACUTE PHYSICIANS OF WISCONSIN SC

Practice address

1110 Kepler Dr
Green Bay, WI 54311-8306

Phone

(281) 724-3050

Fax

(512) 628-3314

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Jose Vargas, MDNPI 1295874840

Title

Ceo

Phone

(281) 724-3050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 4

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

• Laura Jayne Harnowski, APNP

  • Family Nurse Practitioner
  • Green Bay, WI
  • NPI 1528750395

  Physical Medicine & Rehabilitation, WI

  Medicare reassignment Care Compare group NPD
• Olivia Park, MD

  • Physical Medicine & Rehabilitation Physician
  • Kenosha, WI
  • NPI 1669761748

  Physical Medicine & Rehabilitation, WI

  Medicare reassignment Care Compare group NPD
• Elizabeth Anne Polacheck, MD

  • Physical Medicine & Rehabilitation Physician
  • Green Bay, WI
  • NPI 1528115250

  Physical Medicine & Rehabilitation, WI

  Medicare reassignment Care Compare group NPD
• Jose L Vargas, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Miami, FL
  • NPI 1295874840

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1295593218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 KEPLER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118306",
            "telephone_number": "281-724-3050",
            "fax_number": "512-628-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST-ACUTE PHYSICIANS OF WISCONSIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-724-3050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Popp, PT
• Michael Victor Porembski, MD
• Allison Poritz, LPC, SAC, ICS
• Darren Michael Porter, CSAC
• Lawanda Posselt, APSW-TEMP
• Bethany Post
• Posture and Spine Care Center SC
• Emily Paige Potton
• Richard Glen Potts, DO
• Suzanne Victoria Powell, MD

• All providers in Green Bay, WI
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.