Rebecca J Super, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2899012 Issued in WI

Practice address

410 Daly Ave
Wisconsin Rapids, WI 54494-4744

Phone

(715) 423-5050

Fax

(715) 423-5086

NPI assigned

Jan 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cook Family Chiropractic SCGroup PAC ID 2163521808, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cook Family Chiropractic, SC

  • Chiropractor
  • Wisconsin Rapids, WI
  • NPI 1003934316
  Medicare reassignment Care Compare group NPD
• Duda Chiropractic, S.C.

  • Chiropractor
  • Marinette, WI
  • NPI 1790835700
  NPD (past)
• Spinecare

  • Chiropractor
  • Marinette, WI
  • NPI 1659905958
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477533818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 DALY AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944744",
            "telephone_number": "715-423-5050",
            "fax_number": "715-423-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DALY AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944744",
            "telephone_number": "715-423-5050",
            "fax_number": "715-423-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPER",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2899012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38875000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen I Stoner, MSSW
• Strawberry Lane Management LLC
• Strawberry Lane Nursing and Rehab, LLC
• Jonathan Thomas Streckert, COTA
• Beth Louise Sullivan, MS
• Thomas Michael Surendonk, MSSW
• Surgery Center of Wisconsin Rapids, LLC
• Surgical Associates of Wisconsin Rapids SC
• Robin Swanson
• Myra L Swiston, PT

• Chiropractor in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.