NPIMap

Organization Active NPI

Integrity Sports Medicine, LLC

  • Physical Therapist
  • Rhinelander, WI
National Provider Identifier
1548322019
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4433-024 Issued in WI
Legal business name
INTEGRITY SPORTS MEDICINE, LLC
Practice address
1903 Lincoln St
Suite 2
Rhinelander, WI 54501-3674
Phone
(715) 369-1001
Fax
(715) 369-1003
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Mrs. Theresa M Baron, P.T., A.T.C,
Title
Business Owner
Phone
(715) 369-1001

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4433-024 WI Primary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X 62-039 WI
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X 434-039 WI

Addresses

Primary practice location

1903 Lincoln St
Suite 2
Rhinelander, WI 54501-3674

Mailing address

1903 Lincoln St
Suite 2
Rhinelander, WI 54501-3674
Phone (715) 369-1001

Other identifiers 1

IdentifierTypeStateIssuer
DD7431OtherWIRAILROAD MEDICARE

National Provider Directory

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1548322019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 LINCOLN ST",
            "address_2": "SUITE 2",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013674",
            "telephone_number": "715-369-1001",
            "fax_number": "715-369-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 LINCOLN ST",
            "address_2": "SUITE 2",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013674",
            "telephone_number": "715-369-1001",
            "fax_number": "715-369-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "715-369-1001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T., A.T.C,"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4433-024",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "62-039",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "434-039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD7431",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.