Orthopedic & Spine Therapy of Clintonville, SC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHOPEDIC & SPINE THERAPY OF CLINTONVILLE, SC

Practice address

114 E. Greentree Road
Clintonville, WI 54929-1182

Phone

(715) 823-3336

Fax

(715) 823-3936

NPI assigned

Oct 6, 2006

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, PTNPI 1154368777

Title

Owner/President

Phone

(920) 257-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Orthopedic Spine Therapy of Clintonville SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Orthopedic & Spine Therapy of Clintonville, SC

  • Durable Medical Equipment & Medical Supplies
  • Shawano, WI
  • NPI 1134214133
  NPD tax ID
• Orthopedic & Spine Therapy of Clintonville, SC

  • Physical Therapist
  • Clintonville, WI
  • NPI 1528172988
  NPD tax ID

Practitioners 1

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.

• Paul Steven Barnett, PT

  • Physical Therapist
  • Appleton, WI
  • NPI 1154368777
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1629165071",
    "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": "114 E. GREENTREE ROAD",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291182",
            "telephone_number": "715-823-3336",
            "fax_number": "715-823-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPINE THERAPY OF CLINTONVILLE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-16",
        "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": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41746300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara L Messner, PA
• Kelly Meyer
• Angela Miller, PHARMD
• Joanne Rita Niemuth, COTA
• Orthopedic & Spine Therapy of Clintonville, SC
• Pamida Stores Operating Co. LLC (Pamida Home Medical Equipment 177)
• Mark Joseph Pensis, DC
• Pine Manor Health Care Ctr (Greentree Health Care Ctr)
• Leonard J Purull, RPH
• Julie Kay Radtke, P.T.A.

• Durable Medical Equipment & Medical Supplies in Clintonville, WI
• Providers in Clintonville, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.