Excelrehab & Spine Center, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

EXCELREHAB & SPINE CENTER, INC.

Practice address

8554 Hwy 51 North
Unit 6/7
Minocqua, WI 54548

Phone

(715) 358-1929

Fax

(715) 356-4031

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mary Hebert

Title

Owner, Office Manager

Phone

(715) 358-1929

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elijah Brown

  • Physical Therapy Assistant
  • Minocqua, WI
  • NPI 1457272007
  NPD (past)
• Bart Hebert, PT

  • Physical Therapist
  • Minocqua, WI
  • NPI 1245349083
  NPD (past)
• Mary Jane Keller, OTR CHT

  • Occupational Therapist
  • Minocqua, WI
  • NPI 1326129867
  NPD (past)
• Mark H Killian, P.T., L.A.T.

  • Physical Therapist
  • Rhinelander, WI
  • NPI 1831208693
  NPD (past)
• Judith A Larson, PT

  • Physical Therapist
  • Thorp, WI
  • NPI 1043251267
  NPD (past)
• Nancy T. Nesbit, DPT, LAT, CSCS

  • Physical Therapist
  • Park Falls, WI
  • NPI 1790829455
  NPD (past)
• Cheryl J Sell, OT

  • Occupational Therapist
  • Woodruff, WI
  • NPI 1982787479
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1649389479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545480011",
            "telephone_number": "715-358-1929",
            "fax_number": "715-356-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8554 HWY 51 NORTH",
            "address_2": "UNIT 6/7",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "54548",
            "telephone_number": "715-358-1929",
            "fax_number": "715-356-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELREHAB & SPINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER, OFFICE MANAGER",
        "authorized_official_telephone_number": "715-358-1929"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41232500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew M Drewry, MD
• Janet J Drossart
• Connie R Ecklund, APNP
• Jeri C. Ekman, NP
• John Bolinger Ester, MD
• Family Health Center of Marshfield Inc (Family Health Center - Minocqua Alcohol & Drug Recovery Center)
• Kenneth D Fasbender, CSAC, SCIT
• Kara Fieck, RPH
• Michael J Flanigan, MD
• Mary A Forester, DO

• Rehabilitation Clinic/Center in Minocqua, WI
• Providers in Minocqua, WI by specialty
• Rehabilitation Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.