NPIMap

Organization Active NPI

Sport & Spine Physical Therapy of Winona, Inc

  • Durable Medical Equipment & Medical Supplies
  • Winona, MN
National Provider Identifier
1467546531
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPORT & SPINE PHYSICAL THERAPY OF WINONA, INC
Practice address
1512 Service Dr
Winona, MN 55987-3803
Phone
(507) 474-6900
Fax
(507) 474-0502
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Lori A Obrien
Title
VP of Administration
Phone
(507) 474-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1512 Service Dr
Winona, MN 55987-3803

Mailing address

1512 Service Dr
Winona, MN 55987-3803
Phone (507) 474-6900

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1467546531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 SERVICE DR",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873803",
            "telephone_number": "507-474-6900",
            "fax_number": "507-474-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 SERVICE DR",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873803",
            "telephone_number": "507-474-6900",
            "fax_number": "507-474-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINE PHYSICAL THERAPY OF WINONA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP OF ADMINISTRATION",
        "authorized_official_telephone_number": "507-474-6900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.