Organization Active NPI

Aspirus Wausau Hospital, Inc

Doing business as Aspirus Wausau Hospital Therapies YMCA

  • Physical Therapy Clinic/Center
  • Weston, WI
National Provider Identifier
1609004142
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
188 Issued in WI
Legal business name
ASPIRUS WAUSAU HOSPITAL, INC
Doing business as
Aspirus Wausau Hospital Therapies YMCA
Practice address
3402 Howland Ave Ste 100
Weston, WI 54476-5633
Phone
(715) 355-5701
Fax
(715) 359-9531
NPI assigned
Jun 23, 2009
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ASPIRUS WAUSAU HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Mr. Jerry M Yang
Title
SVP & Chief Financial Officer
Phone
(715) 847-2526

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 188 WI Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

3402 Howland Ave Ste 100
Weston, WI 54476-5633

Mailing address

29980 Network PL
Chicago, IL 60673-1299
Phone (715) 847-2304

Other names 1

  • Aspirus Wausau Hospital Therapies YMCA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wisconsin Emergency Med22 organizations share this tax ID, including this one
Part of
Wisconsin Emergency Med

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1609004142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29980 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "715-847-2304",
            "fax_number": "715-843-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 HOWLAND AVE STE 100",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765633",
            "telephone_number": "715-355-5701",
            "fax_number": "715-359-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS WAUSAU HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPIRUS WAUSAU HOSPITAL, INC",
        "enumeration_date": "2009-06-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SVP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "188",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Wausau Hospital Therapies YMCA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspirus Wausau Hospital Therapies YMCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.