Active NPI
Orthopedic & Spine Therapy of Menasha, SC
- Durable Medical Equipment & Medical Supplies
- Kaukauna, WI
National Provider Identifier
1871665364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ORTHOPEDIC & SPINE THERAPY OF MENASHA, SC
- Practice address
- 1901 Crooks Ave
Suite B
Kaukauna, WI 54130-3200 - Phone
- (920) 759-9075
- Fax
- (920) 759-9076
- NPI assigned
- Nov 14, 2006
- Last updated
- May 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Steven Barnett, PT
- Title
- Owner and President
- Phone
- (920) 257-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1901 Crooks Ave
Suite B
Kaukauna, WI 54130-3200
Mailing address
4000 N Providence Ave
Appleton, WI 54913-8018
Phone (920) 257-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41566000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
1901 Crooks Ave
Ste B
Kaukauna, WI 54130
Phone (920) 759-9075
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.
-
- Physical Therapist
- Kaukauna, WI
- NPI 1942314190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1871665364",
"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": "1901 CROOKS AVE",
"address_2": "SUITE B",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541303200",
"telephone_number": "920-759-9075",
"fax_number": "920-759-9076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC & SPINE THERAPY OF MENASHA, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2008-05-02",
"status": "A",
"authorized_official_last_name": "BARNETT",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "OWNER AND PRESIDENT",
"authorized_official_telephone_number": "920-257-2000",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41566000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kaukauna, WI
- Ms-Ac Kaukauna Senior Living, LLC (The Landings of Kaukauna)
- Marc Ndabaramiye
- Lisa Nebel, DPT
- New Wellness Associates, Inc. (New Wellness Associates)
- Northeast Wisconsin Wellness Associates, LLC
- Orthopedic and Spine Therapy of Menasha SC
- Andrew C Pahl, M.D.
- Quinton Jarrett Peters, ATC, LAT, EMT-B
- Andrew Pipping, PTA
- Nicole Plutz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.