Orthopedic & Spine Therapy of New London, SC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHOPEDIC & SPINE THERAPY OF NEW LONDON, SC

Practice address

1620 N Shawano St
New London, WI 54961-9368

Phone

(920) 982-3670

Fax

(920) 982-4273

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Paul Steven Barnett, PT

Title

Owner/President

Phone

(920) 257-2000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1457447435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N PROVIDENCE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138018",
            "telephone_number": "920-257-2000",
            "fax_number": "920-257-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N SHAWANO ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549619368",
            "telephone_number": "920-982-3670",
            "fax_number": "920-982-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPINE THERAPY OF NEW LONDON, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "920-257-2000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41745700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha Ann Nytes, LPN
• Susan Heidmann Obertin
• Lisa Oikarinen
• Kimberly K Oliver, CRNA
• Orthopedic & Spine Therapy of New London, SC
• Orthopedic & Sports Medicine Specialists of Green Bay, SC
• Rebecca Parker, MS,OTR
• Theresa L Pecher, R.N.
• Jenny Penn, MSN, RN, NCSN
• Kathleen Nora Peters, COTA

• Durable Medical Equipment & Medical Supplies in New London, WI
• Providers in New London, 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 Nov 5, 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.