Active NPI
Osteopathic Medicine & Physical Therapy GRP of Northeast Wisconsin
- Neuromusculoskeletal Medicine & OMM Physician
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- Legal business name
- OSTEOPATHIC MEDICINE & PHYSICAL THERAPY GRP OF NORTHEAST WISCONSIN
- Practice address
- 1010 S Oneida St
Appleton, WI 54915-7802 - Phone
- (920) 733-7726
- Fax
- (920) 733-2109
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Edward Marotz, DO
- Title
- President
- Phone
- (920) 733-7726
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | WI | Primary |
Addresses
Primary practice location
1010 S Oneida St
Appleton, WI 54915-7802
Mailing address
626 E Longview Dr Ste B
Appleton, WI 54911-2149
Phone (920) 733-7726
Other practice location 1
626 E Longview Dr Ste B
Appleton, WI 54911-2149
Phone (920) 733-7726
National Provider Directory
National Provider DirectoryLocations
1010 S Oneida St
Appleton, WI 54915
Phone (920) 733-7726
Practitioners & affiliated clinicians
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Appleton, WI
- NPI 1730284449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1801991468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 E LONGVIEW DR STE B",
"city": "APPLETON",
"state": "WI",
"postal_code": "549112149",
"telephone_number": "920-733-7726",
"fax_number": "920-939-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S ONEIDA ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549157802",
"telephone_number": "920-733-7726",
"fax_number": "920-733-2109"
}
],
"practiceLocations": [
{
"address_1": "626 E Longview Dr Ste B",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549112149",
"country_code": "US",
"telephone_number": "920-733-7726",
"fax_number": "920-939-3060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OSTEOPATHIC MEDICINE & PHYSICAL THERAPY GRP OF NORTHEAST WISCONSIN",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MAROTZ",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-733-7726",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.