Sport & Spine Clinic LP

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SPORT & SPINE CLINIC LP

Doing business as

Sport & Spine

Practice address

327 N 17TH Ave
Suite 7
Wausau, WI 54401-4225

Phone

(715) 845-2942

Fax

(715) 842-3416

NPI assigned

Jun 20, 2006

Last updated

Apr 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Binstein

Title

Evp

Phone

(713) 297-7014

Specialties & licenses 1

Addresses

Other names 1

• Sport & Spine Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sport & Spine Clinic LP

  • Rehabilitation Clinic/Center
  • Greenwood, WI
  • NPI 1497833966

  O20050817000587

  Same enrollment

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1699711630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N 17TH AVE STE 7",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N 17TH AVE",
            "address_2": "SUITE 7",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014225",
            "telephone_number": "715-845-2942",
            "fax_number": "715-842-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINE CLINIC LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "713-297-7014"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sport & Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sport & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spine & Brain Group SC
• Rachael Splinter, LPC
• Sport & Spine Clinic L P (Sport & Spine)
• Sport & Spine Clinic L.P. (Sport & Spine-Rib Mountain)
• Sport & Spine Clinic LP (Sport & Spine-Rib Mountain)
• Calvin D. Sprik, M.D.
• Spring Into Life Chiropractic, LLC
• Tracy Denise Springer, SAC
• Ashley E St Clair, NP
• Maunee St. Germaine, PTA

• Rehabilitation Clinic/Center in Wausau, WI
• Providers in Wausau, 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 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.