NPIMap

Organization Active NPI

Thedacare Regional Medical Center - Appleton, Inc

Doing business as ThedaCare Appleton In Patient Rehab

  • Rehabilitation Hospital Unit
  • Appleton, WI
National Provider Identifier
1932085552
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC
Doing business as
ThedaCare Appleton In Patient Rehab
ThedaCare Medical Center Orthopedics, Spine, and Pain Inpt Rehab
Practice address
2400 E Capitol Dr
Appleton, WI 54911-8728
Phone
(920) 731-4101
NPI assigned
Aug 12, 2025
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
William Flett
Title
Cfo
Phone
(920) 454-4013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

2400 E Capitol Dr
Appleton, WI 54911-8728

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900

Other names 2

  • ThedaCare Appleton In Patient Rehab Doing business as
  • ThedaCare Medical Center Orthopedics, Spine, and Pain Inpt Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250909001088 WI Part A Provider - Hospital 2163319039 Practice locations: Appleton, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932085552. Details of each certification follow.

Hospital certification: CCN 52T160

Legal name
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC
Organization structure
CorporationNon-profit
Enrollment address
2400 E Capitol Dr
Appleton, WI 54911-8728
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Thedacare Regional Medical Center - Appleton IncCCN 52T160 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 2025

National Provider Directory

National Provider Directory
Tax ID family
Thedacare Regional Medical Center - Appleton Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Froedtert Thedacare Health, Inc. Organization, Milwaukee, WI Non-profit Operational/Managerial Control Jan 1, 2024
Jennifer R Glasheen Individual Corporate DirectorDirector of Payer Contracting Jan 1, 2024
Laurie a Carter Individual Corporate DirectorBoard Member Feb 11, 2022
Thedacare, Incorporated Organization, Neenah, WI Corporation, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2024
Mary W Goggans Individual Corporate DirectorBoard Member Feb 11, 2022
Alan Loux Individual Corporate DirectorBoard Member Jan 1, 2023
William Flett Individual Corporate OfficerCfo Oct 31, 2023
Imran a Andrabi Individual Operational/Managerial ControlCeo-President Jan 1, 2024
Chuck Dallas Individual Corporate DirectorBoard Member Jan 1, 2021
David W Koeper Individual Corporate DirectorBoard Member Jan 1, 2021
Susan M Pahl Individual W-2 Managing EmployeeCredentialing Specialist Jun 1, 2020
Steven J Price Individual Corporate DirectorBoard Member Jan 1, 2023
Kathleen Pigeon Individual W-2 Managing EmployeeCredentialing Specialist Jun 11, 2020
Michael Morse Individual Corporate DirectorBoard Member Jan 1, 2024

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

Facilities with the same owner 26

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 26

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1932085552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-830-5900",
            "fax_number": "920-830-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E CAPITOL DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118728",
            "telephone_number": "920-731-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "FLETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-454-4013"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ThedaCare Appleton In Patient Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ThedaCare Medical Center Orthopedics, Spine, and Pain Inpt Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ThedaCare Medical Center Orthopedics, Spine, and Pain Inpt Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.