Paul Sinclair, PHYISCIAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

629024 Issued in WI

Practice address

617 S Roosevelt St
Green Bay, WI 54301-3402

Phone

(920) 445-7217

Fax

(920) 445-7229

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bellin Memorial Hospital Inc

  dba Bellin Health

  • Family Medicine Physician
  • Green Bay, WI
  • NPI 1033172390

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1801061551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S ROOSEVELT ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013402",
            "telephone_number": "920-445-7217",
            "fax_number": "920-445-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S ROOSEVELT ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013402",
            "telephone_number": "920-445-7217",
            "fax_number": "920-445-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "PAUL",
        "credential": "PHYISCIAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "629024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40136500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frantz Merveilleux Simon
• Jaimie Simon, SAC, LPC
• John Simonet, RPH
• Mark Thomas Simonson, BS
• Shai Sims-Brown, RD
• Tangee Noel Sinclair, MD
• Tracy Lynn Sineway
• Prabhpreet Singh, M.D.
• Sabina Singh, MD
• Maureen L Sinkler, LCSW

• Physical Therapist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Therapist in Wisconsin

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

Verify at the official NPI Registry.