Active NPI
Sheboygan Orthopaedic Associates SC
- Physical Therapist
- Sheboygan, WI
National Provider Identifier
1841361417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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 SC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40426300 | Medicaid | WI |
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.
-
- Orthopaedic Surgery Physician
- Sheboygan, WI
- NPI 1508936642
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
- Sheboygan Medical Center, LLC
- Sheboygan Medical Center, LLC
- Sheboygan Optical Co. LLC
- Sheboygan Oral and Maxillofacial Assoc LTD
- Sheboygan Orthopaedic Associates SC
- Sheboygan Pediatric Associates SC
- Sheboygan Physicians Group, SC
- Sheboygan Regional Oncology Center, LTD.
- Sheboygan Senior Community, Inc.
- Sheboygan Senior Living, Inc. (The Shores of Sheboygan Assisted Living I)
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.