NPIMap

Organization Active NPI

North Eastern Wisconsin Rehabilitation Corporation

  • Physical Therapist
  • New London, WI
National Provider Identifier
1417017369
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10012-024 Issued in WI
Legal business name
NORTH EASTERN WISCONSIN REHABILITATION CORPORATION
Doing business as
N.E.W. REHAB Company
Practice address
307 Smith St
New London, WI 54961-1410
Phone
(920) 982-5440
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mrs. Rebecca Parker, MS, OTRNPI 1326173931
Title
President
Phone
(920) 982-5440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 10012-024 WI Primary

Addresses

Primary practice location

307 Smith St
New London, WI 54961-1410

Mailing address

307 Smith St
New London, WI 54961-1410
Phone (920) 982-5440

Other identifiers 1

IdentifierTypeStateIssuer
41220300MedicaidWI

Other names 1

  • N.E.W. REHAB Company Doing business as

National Provider Directory

National Provider Directory

Locations

307 Smith St
New London, WI 54961
Phone (920) 982-5440

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1417017369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SMITH ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549611410",
            "telephone_number": "920-982-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 SMITH ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549611410",
            "telephone_number": "920-982-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EASTERN WISCONSIN REHABILITATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-982-5440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10012-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41220300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N.E.W. REHAB Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New London, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.