NPIMap

Organization Active NPI

Joan Ostermeier Physical Therapy Limited Partnership

Doing business as Sport & Spine Clinic of Wittenberg

  • Physical Therapy Clinic/Center
  • Wittenberg, WI
National Provider Identifier
1508943481
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JOAN OSTERMEIER PHYSICAL THERAPY LIMITED PARTNERSHIP
Doing business as
Sport & Spine Clinic of Wittenberg
Practice address
105 N Genesee St
Wittenberg, WI 54499-9176
Phone
(715) 253-2939
Fax
(715) 253-2930
NPI assigned
Oct 31, 2006
Last updated
Mar 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Richard Binstein, JD
Title
VP/Authorized Official
Phone
(713) 297-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

105 N Genesee St
Wittenberg, WI 54499-9176

Mailing address

1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2447
Phone (713) 297-7000

Other names 1

  • Sport & Spine Clinic of Wittenberg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000197 WI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4284840455 Practice locations: Wittenberg, WI

National Provider Directory

National Provider Directory

Locations

105 N Genesee St
Wittenberg, WI 54499
Phone (715) 253-2939

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1508943481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422447",
            "telephone_number": "713-297-7000",
            "fax_number": "713-297-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N GENESEE ST",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544999176",
            "telephone_number": "715-253-2939",
            "fax_number": "715-253-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN OSTERMEIER PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sport & Spine Clinic of Wittenberg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sport & Spine Clinic of Wittenberg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wittenberg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.