Orthopedic & Spine Therapy of Sturgeon Bay, SC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ORTHOPEDIC & SPINE THERAPY OF STURGEON BAY, SC

Practice address

228 N 14TH Ave
Sturgeon Bay, WI 54235-1318

Phone

(920) 746-3180

Fax

(920) 746-3182

NPI assigned

Jun 26, 2008

Organization subpart

No

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

Authorized official

Name

Paul Steven Barnett, P.T.

Title

Owner/President

Phone

(920) 257-2000

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1548422082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N PROVIDENCE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138018",
            "telephone_number": "920-257-2000",
            "fax_number": "920-257-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N 14TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351318",
            "telephone_number": "920-746-3180",
            "fax_number": "920-746-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPINE THERAPY OF STURGEON BAY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "920-257-2000",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36191300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "613446600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000017151",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sai Oak, OD
• Kristina Ohley, PHARMD
• Jennifer K Olson, D.D.S
• Kali Jean Olson, MD, MPH
• Kelly J Oram-Rankin, OTR
• Orthopedic & Spine Therapy of Sturgeon Bay, SC
• Marcia M Osborne, FNP
• Packerland Chiropractic of Door County Inc
• Jake Aaron Paget, PHARMD
• Jeanette Pahl

• Physical Therapist in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.