Organization Active NPI

Osteopathic Medicine & Physical Therapy GRP of Northeast Wisconsin

  • Neuromusculoskeletal Medicine & OMM Physician
  • Appleton, WI
National Provider Identifier
1801991468
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
James Edward Marotz, DONPI 1730284449
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)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.