Strides Equestrian Therapeutic Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STRIDES EQUESTRIAN THERAPEUTIC CENTER LLC

Practice address

W6769 Colby Factory Rd
Greenwood, WI 54437-9010

Phone

(715) 316-7704

NPI assigned

May 28, 2020

Last updated

May 28, 2020By 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

Jason R Lenz

Title

Member/Owner

Phone

(715) 316-7704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1740804491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6769 COLBY FACTORY RD",
            "city": "GREENWOOD",
            "state": "WI",
            "postal_code": "544379010",
            "telephone_number": "715-316-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W6769 COLBY FACTORY RD",
            "city": "GREENWOOD",
            "state": "WI",
            "postal_code": "544379010",
            "telephone_number": "715-316-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDES EQUESTRIAN THERAPEUTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "715-316-7704"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Greenwood, WI
• Providers in Greenwood, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.