Orthopedic & Spine Therapy of Poplar SC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ORTHOPEDIC & SPINE THERAPY OF POPLAR SC

Practice address

33 N 1St St
Bayfield, WI 54814

Phone

(715) 913-0400

NPI assigned

May 26, 2016

Last updated

Jun 14, 2016By 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

Amy M Barnett

Title

Administrator

Phone

(920) 257-5005

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jessica A. Edelmann, MPT

  • Physical Therapist
  • Ashland, WI
  • NPI 1497778278
  NPD (past)

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1760830103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MIDWAY RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521116",
            "telephone_number": "920-257-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N 1ST ST",
            "city": "BAYFIELD",
            "state": "WI",
            "postal_code": "54814",
            "telephone_number": "715-913-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPINE THERAPY OF POPLAR SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-257-5005"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Matusiewicz Popovich, R.D.H
• Jeanna M Morshead-Metelica, MSE, LPC, CSAC
• Dawn Nixon, PSY.D.
• Jacqueline Noha, RN
• Bailey Nyara, MS, CCC-SLP
• James E Peacock, CSAC, ICS
• Red Cliff Aoda Program/Mishomis House
• Red Cliff Band of :Ake Superior (Red Cliff Comm Health Center Phy)
• Red Cliff Band of Chippewa Indians (Red Cliff AODA Program)
• Red Cliff Band of Lake Superior Chippewa (Red Cliff Community Health Center)

• Physical Therapist in Bayfield, WI
• Providers in Bayfield, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.