Active NPI
Sport & Spine Clinic L.P.
- Rehabilitation Clinic/Center
- Wausau, WI
National Provider Identifier
1306000534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- SPORT & SPINE CLINIC L.P.
- Practice address
- 226831 Rib Mountain Dr
Wausau, WI 54401-3350 - Phone
- (715) 359-2500
- NPI assigned
- Jul 16, 2008
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
226831 Rib Mountain Dr
Wausau, WI 54401-3350
Mailing address
PO Box 1349
Wausau, WI 54402-1349
Other names 1
- Sport & Spine-Rib Mountain
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583193600000",
"number": "1306000534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1349",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544021349"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPORT & SPINE CLINIC L.P.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-16",
"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": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"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"
}
]
}
Other providers in Wausau, WI
Sources for this page
- 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.