Individual provider Active NPI

Alex Johathon Conway, DPT

  • Physical Therapist
  • Rhinelander, WI
National Provider Identifier
1336625797
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
586 Shepard St
Rhinelander, WI 54501-3552
Phone
(715) 365-5252
Fax
(715) 365-5258
NPI assigned
Jul 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

586 Shepard St
Rhinelander, WI 54501-3552

Mailing address

586 Shepard St
Rhinelander, WI 54501-3552
Phone (715) 365-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190613002837 WI Practitioner - Physical Therapist in Private Practice 0446583041 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Spine Therapy of Lakewood, SCGroup PAC ID 0941499388, 7 clinicians

Practice addresses (Care Compare)

17187 Twin Pines Rd
Lakewood, WI 54138-9300
Phone (715) 276-1767

315 Burton Rd
Suite 107
New London, WI 54961-1176
Phone (920) 982-3670

315 E Main St
Suite 400
Hortonville, WI 54944-9451
Phone (920) 779-4441

4000 N Providence Ave
Appleton, WI 54913-8018
Phone (920) 968-0814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health in Motion, LLC Physical Therapist CurrentSince May 16, 2019 Accepting new patients
Orthopedic & Spine Therapy of Menasha SC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Orthopedic and Spine Therapy of Menasha SC Physical Therapist Current Accepting new patients
Orthopedic & Spine Therapy of Lakewood, SC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Orthopedic & Spine Therapy of New London, SC Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Orthopedic & Spine Therapy of Menasha SC Physical Therapist Past Accepting new patients

Locations

4000 N Providence Ave
Appleton, WI 54913
Phone (920) 257-2000

1 Bank Ave
Ste C
Kaukauna, WI 54130
Phone (920) 759-9075

1000 Midway Rd
Menasha, WI 54952
Phone (920) 257-2000

315 Burton Rd
Ste 107
New London, WI 54961
Phone (920) 982-3670

586 Shepard St
Rhinelander, WI 54501
Phone (715) 365-5256

1509 N 4th St
Ste 1
Tomahawk, WI 54487
Phone (715) 453-6650

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1336625797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 SHEPARD ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013552",
            "telephone_number": "715-365-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 SHEPARD ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013552",
            "telephone_number": "715-365-5252",
            "fax_number": "715-365-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "ALEX",
        "middle_name": "JOHATHON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.