Organization Active NPI

Actra Rehabilitation Associates Inc

  • Prosthetic/Orthotic Supplier
  • Milwaukee, WI
National Provider Identifier
1831164706
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ACTRA REHABILITATION ASSOCIATES INC
Practice address
2727 W Cleveland Ave
Milwaukee, WI 53215-2908
Phone
(414) 647-8828
Fax
(414) 647-8878
NPI assigned
Feb 22, 2006
Last updated
Jun 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Richard S Binstein
Title
Executive Vice President
Phone
(610) 644-7824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

2727 W Cleveland Ave
Milwaukee, WI 53215-2908

Mailing address

2727 W Cleveland Ave
Milwaukee, WI 53215-2908
Phone (414) 647-8828

Other identifiers 1

IdentifierTypeStateIssuer
41790700MedicaidWI

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3601 Minnesota Dr
Ste 840
Bloomington, MN 55435
Phone (952) 831-1500

10700 W Burleigh St
Milwaukee, WI 53222
Phone (414) 778-4500

2727 W Cleveland Ave
West Milwaukee, WI 53215
Phone (414) 384-5420

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1831164706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W CLEVELAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152908",
            "telephone_number": "414-647-8828",
            "fax_number": "414-647-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W CLEVELAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152908",
            "telephone_number": "414-647-8828",
            "fax_number": "414-647-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTRA REHABILITATION ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "610-644-7824"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41790700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.