Paul Steven Neuenfeldt, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

872-039 Issued in WI

Practice address

1400 Washington St Ste 3
Two Rivers, WI 54241-3043

Phone

(920) 553-8993

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Two Rivers, WI
  • NPI 1447398425
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1720107378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 48TH ST",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542411015",
            "telephone_number": "920-819-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WASHINGTON ST STE 3",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413043",
            "telephone_number": "920-553-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUENFELDT",
        "first_name": "PAUL",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "872-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Mikeal
• Ali A Mir, MD
• Moriah Mitchell
• Marvin Robert Moore, PHARM.D.
• Jeffrey S. Nesta, MD
• Rae Nigh, DPT
• Mackenzie Nigl, RPH, PHARM.D.
• North Oak Health Care Wisteria Haus LLC
• Karen Ann Novy, OTR
• NSH Two Rivers LLC

• Athletic Trainer in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.