NPIMap

Organization Active NPI

Robert Runge Dba Excel Physical Therapy

  • Physical Therapy Clinic/Center
  • Oshkosh, WI
National Provider Identifier
1689685059
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROBERT RUNGE DBA EXCEL PHYSICAL THERAPY
Practice address
420 N Koeller St
Oshkosh, WI 54902-4111
Phone
(920) 233-8739
Fax
(920) 233-8732
NPI assigned
Aug 11, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Robert Charles Runge Jr., PTNPI 1871504720
Title
Owner
Phone
(920) 233-8739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

420 N Koeller St
Oshkosh, WI 54902-4111

Mailing address

420 N Koeller St
Oshkosh, WI 54902-4111
Phone (920) 233-8739

Other identifiers 1

IdentifierTypeStateIssuer
40420300MedicaidWI

National Provider Directory

National Provider Directory

Locations

420 N Koeller St
Oshkosh, WI 54902
Phone (920) 233-8739

430 N Koeller St
#2
Oshkosh, WI 54902
Phone (920) 233-8739

430 N Koeller St
Ste 2
Oshkosh, WI 54902
Phone (920) 233-8739

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1689685059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024111",
            "telephone_number": "920-233-8739",
            "fax_number": "920-233-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024111",
            "telephone_number": "920-233-8739",
            "fax_number": "920-233-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT RUNGE DBA EXCEL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "RUNGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-233-8739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40420300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.