Select Physical Therapy of Green Bay Limited Partnership

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SELECT PHYSICAL THERAPY OF GREEN BAY LIMITED PARTNERSHIP

Practice address

3311 Calumet Ave
Manitowoc, WI 54220-5425

Phone

(920) 683-9710

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Michael Tarvin

Title

Vice President

Phone

(717) 975-4503

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lori M Fure, LCSW

  • Clinical Social Worker
  • Manitowoc, WI
  • NPI 1639340078
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1679536593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 CALUMET AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205425",
            "telephone_number": "920-683-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 CALUMET AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205425",
            "telephone_number": "920-683-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY OF GREEN BAY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-975-4503"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean T Benham MDSC
• Paulette Marie Sears, MS LPC
• William J Seder, DC
• Jerel Sehloff, RPH
• Stephen Robert Seifert, RD,CD
• Selected Transportation, LLC
• Bonnie Lynn Sell, REGISTERED NURSE
• Jana Sellhausen
• Shady Lane Home, Inc.
• Brooke Shillcox

• Rehabilitation Clinic/Center in Manitowoc, WI
• Providers in Manitowoc, 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 Mar 11, 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.