Active NPI
Orthopedic & Spine Therapy of Brillion, SC
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
National Provider Identifier
1710053525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ORTHOPEDIC & SPINE THERAPY OF BRILLION, SC
- Practice address
- 205 Maritime Dr
Manitowoc, WI 54220-6826 - Phone
- (920) 482-1516
- Fax
- (920) 482-1581
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Steven Barnett, PT
- Title
- Owner-President
- Phone
- (920) 257-2000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
205 Maritime Dr
Manitowoc, WI 54220-6826
Mailing address
4000 N Providence Ave
Appleton, WI 54913-8018
Phone (920) 257-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41756800 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Orthopedic Spine Therapy of Brillion SC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Brillion, WI
- NPI 1811920887
-
- Physical Therapist
- Manitowoc, WI
- NPI 1154368843
-
- Durable Medical Equipment & Medical Supplies
- Brillion, WI
- NPI 1578650446
Locations
205 Maritime Dr
Manitowoc, WI 54220
Phone (920) 482-1516
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Appleton, WI
- NPI 1154368777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206316800000",
"number": "1710053525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 N PROVIDENCE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138018",
"telephone_number": "920-257-2000",
"fax_number": "920-257-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MARITIME DR",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542206826",
"telephone_number": "920-482-1516",
"fax_number": "920-482-1581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC & SPINE THERAPY OF BRILLION, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2008-03-24",
"status": "A",
"authorized_official_last_name": "BARNETT",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "OWNER-PRESIDENT",
"authorized_official_telephone_number": "920-257-2000",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41756800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.