Organization Active NPI

Sheboygan Orthopaedic Associates SC

  • Physical Therapist
  • Sheboygan, WI
National Provider Identifier
1841361417
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SHEBOYGAN ORTHOPAEDIC ASSOCIATES SC
Practice address
2920 Superior Avenue
Sheboygan, WI 53081
Phone
(920) 458-8707
Fax
(920) 452-6107
NPI assigned
Nov 13, 2006
Organization subpart
Yes
Parent organization
SHEBOYGAN ORTHOPAEDIC ASSOCIATES SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
D Scott Sellinger, MD
Title
Partner Officer 5 Per Or More Owner
Phone
(920) 458-8707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2920 Superior Avenue
Sheboygan, WI 53081

Mailing address

2920 Superior Avenue
Sheboygan, WI 53081
Phone (920) 458-8707

Other identifiers 1

IdentifierTypeStateIssuer
40426300MedicaidWI

National Provider Directory

National Provider Directory
Part of
Sheboygan Ortho Assoc S

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1841361417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 SUPERIOR AVENUE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-458-8707",
            "fax_number": "920-452-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SUPERIOR AVENUE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-458-8707",
            "fax_number": "920-452-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEBOYGAN ORTHOPAEDIC ASSOCIATES SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHEBOYGAN ORTHOPAEDIC ASSOCIATES SC",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "SELLINGER",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PARTNER OFFICER 5 PER OR MORE OWNER",
        "authorized_official_telephone_number": "920-458-8707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40426300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.