NPIMap

Organization Active NPI

Actra Rehabilitation Associates Inc

Doing business as Actra Rehabilitation Associates

  • Prosthetic/Orthotic Supplier
  • Racine, WI
National Provider Identifier
1881654622
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
Doing business as
Actra Rehabilitation Associates
Practice address
829 S Green Bay Rd
Racine, WI 53406-4058
Phone
(262) 635-0191
Fax
(262) 635-0205
NPI assigned
Mar 24, 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

829 S Green Bay Rd
Racine, WI 53406-4058

Mailing address

829 S Green Bay Rd
Ste 105
Racine, WI 53406-4058
Phone (262) 635-0191

Other identifiers 1

IdentifierTypeStateIssuer
41789600MedicaidWI

Other names 1

  • Actra Rehabilitation Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acme Laboratories5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

829 S Green Bay Rd
Mount Pleasant, WI 53406
Phone (262) 898-8700

829 S Green Bay Rd
Ste 105
Mount Pleasant, WI 53406

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1881654622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 S GREEN BAY RD",
            "address_2": "STE 105",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064058",
            "telephone_number": "262-635-0191",
            "fax_number": "262-635-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 S GREEN BAY RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064058",
            "telephone_number": "262-635-0191",
            "fax_number": "262-635-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTRA REHABILITATION ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "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": "41789600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Actra Rehabilitation Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Racine, 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.