Organization Active NPI

Sport & Spine Clinic L.P.

  • Physical Therapist
  • Stratford, WI
National Provider Identifier
1780020396
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORT & SPINE CLINIC L.P.
Practice address
213016 Legion St
Stratford, WI 54484
Phone
(715) 687-2214
Fax
(715) 687-4716
NPI assigned
May 22, 2013
Last updated
Jan 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Richard Binstein
Title
VP, Authorized Official
Phone
(713) 297-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

213016 Legion St
Stratford, WI 54484

Mailing address

327 N 17TH Ave Ste 7
Wausau, WI 54401-4283

National Provider Directory

National Provider Directory

Locations

604 N Division St
Ste B
Colby, WI 54421
Phone (715) 223-4060

216 W Redwood St
Edgar, WI 54426
Phone (715) 352-2780

8554 US Highway 51
Minocqua, WI 54548
Phone (715) 358-1929

1021 Western Ave
Ste B
Mosinee, WI 54455
Phone (715) 393-0479

1767 Park Ave
#200
Plover, WI 54467
Phone (715) 544-1570

1518 Metro Dr
Schofield, WI 54476
Phone (715) 216-3760

1518 Metro Dr
Ste 108
Schofield, WI 54476
Phone (715) 359-8465

16E Menard Plz
Wausau, WI 54401
Phone (715) 845-2942

327 N 17th Ave
Ste 7
Wausau, WI 54401
Phone (715) 845-2942

4107 Barbican Ave
Ste 260
Weston, WI 54476
Phone (715) 359-8465

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1780020396",
    "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": "213016 LEGION ST",
            "city": "STRATFORD",
            "state": "WI",
            "postal_code": "54484",
            "telephone_number": "715-687-2214",
            "fax_number": "715-687-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT & SPINE CLINIC L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.