Actra Rehabilitation Associates Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ACTRA REHABILITATION ASSOCIATES INC

Practice address

525 E Division St
Suite 104
Fond Du Lac, WI 54935-3747

Phone

(920) 923-6676

Fax

(920) 923-9020

NPI assigned

Feb 21, 2006

Organization subpart

No

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

Authorized official

Name

John Duggan

Title

Chief Legal Officer

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NovaCare Prosthetics & Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Actra Rehabilitation Associates Inc

  • Prosthetic/Orthotic Supplier
  • Oshkosh, WI
  • NPI 1073588992

  1153448337

  Same PAC ID
• Actra Rehabilitation Associates Inc

  • Prosthetic/Orthotic Supplier
  • Kenosha, WI
  • NPI 1740255611

  1153448337

  Same PAC ID
• Actra Rehabilitation Associates, Inc.

  • Prosthetic/Orthotic Supplier
  • Roseville, MN
  • NPI 1659346195

  1153448337

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Actra Rehabilitation Associates Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Actra Rehabilitation Associates Inc

  • Prosthetic/Orthotic Supplier
  • Oshkosh, WI
  • NPI 1073588992
  NPD tax ID
• Actra Rehabilitation Associates Inc

  • Prosthetic/Orthotic Supplier
  • Kenosha, WI
  • NPI 1740255611
  NPD tax ID
• Actra Rehabilitation Associates Inc

  • Prosthetic/Orthotic Supplier
  • Racine, WI
  • NPI 1881654622
  NPD tax ID
• Actra Rehabilitation Associates, Inc.

  • Prosthetic/Orthotic Supplier
  • Roseville, MN
  • NPI 1659346195
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Upland, CA
  • NPI 1619011160

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1679548846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E DIVISION ST",
            "address_2": "SUITE 104",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353747",
            "telephone_number": "920-923-6676",
            "fax_number": "920-923-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTRA REHABILITATION ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41790300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NovaCare Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Prosthetic/Orthotic Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.