Spectrum Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2749-24 Issued in WI

Legal business name

SPECTRUM PHYSICAL THERAPY LLC

Practice address

315 S Oneida Ave
Suite 102
Rhinelander, WI 54501-3422

Phone

(715) 362-8825

Fax

(715) 362-8830

NPI assigned

Mar 24, 2010

Organization subpart

No

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

Authorized official

Name

Tami Lisa Lundmark, PT

Title

Owner

Phone

(715) 362-8825

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1497079131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S ONEIDA AVE",
            "address_2": "SUITE 102",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013422",
            "telephone_number": "715-362-8825",
            "fax_number": "715-362-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S ONEIDA AVE",
            "address_2": "SUITE 102",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013422",
            "telephone_number": "715-362-8825",
            "fax_number": "715-362-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "LUNDMARK",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-362-8825",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "2749-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40101500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Slette, MD
• David L Smith
• James R Smith, DO
• Oksana Smith
• Jennifer Smits
• Wesley Wade Spurgeon, DPT
• Selvarajah Sriharan, M.D.
• St Josephs Hospital of Marshfield Inc
• Susan L Stacy
• Staffworks Group

• Physical Therapy Clinic/Center in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.