Pamela J. St. Clair, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10309-024 Issued in WI

Practice address

1620 N Shawano St
New London, WI 54961-9368

Phone

(920) 982-3670

Fax

(920) 982-4273

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pamela J. Hess Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic & Spine Therapy of New London, SC

  • Physical Therapy Clinic/Center
  • Hortonville, WI
  • NPI 1164080388

  Physical Therapist

  NPD (past)
• Orthopedic & Spine Therapy of New London, SC

  • Physical Therapy Clinic/Center
  • New London, WI
  • NPI 1437187135

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1851335483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N PROVIDENCE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138018",
            "telephone_number": "920-257-2000",
            "fax_number": "920-257-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N SHAWANO ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549619368",
            "telephone_number": "920-982-3670",
            "fax_number": "920-982-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CLAIR",
        "first_name": "PAMELA",
        "middle_name": "J.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10309-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40461300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "HESS",
            "middle_name": "J.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy J Sordahl, MSPT
• Lindsey Spiegelberg
• Mary Joann Spiller, NP
• Nicholas John Sprangers, PHARMD
• St Joseph Residence Inc
• St. Joseph Residence, Inc. - the Washington Center
• Sundance Services Corp (Genesis Rehab Services)
• Craig E Sylte, O.D.
• Mark Alan Tegtmeier, MA, LCSW, LPC, LMFT
• Marcella K Teske, APNP

• Physical Therapist in New London, WI
• Providers in New London, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.