SPORT & SPINE CLINIC LP (NPI# 1225270754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225270754 |
| Entity Type | Organization |
| Organization Name | SPORT & SPINE CLINIC LP |
| Other Organization Name | SPORT & SPINE-RIB MOUNTAIN |
| Practice Address |
226831 Rib Mountain Dr Wausau WI 54401-3350 |
| Practice Telephone | 7153592500 |
| Practice Fax Number | 7153592588 |
| Mailing Telephone | 7153592500 |
| Mailing Fax Number | 7153592588 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | RICHARD BINSTEIN (VP/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7132977000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Sport & Spine-Rib Mountain | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497833966 | Sport & Spine Clinic Lp | Clinic/Center | 133 South Main Street, Greenwood, WI 54437 | 2006-11-01 |
| 1730265661 | Sport & Spine Clinic Lp | Clinic/Center | 604b North Division Street, Colby, WI 54421 | 2006-10-31 |
| 1346279643 | Sport & Spine Clinic Lp | Physical Therapist | 4107 Barbican Ave, Suite 260, Weston, WI 54476-4143 | 2006-07-01 |
| 1942238167 | Sport & Spine Clinic Lp | Physical Therapist | 325 S.third Avenue, Suite B, Edgar, WI 54426 | 2006-06-28 |
| 1699711630 | Sport & Spine Clinic Lp | Physical Therapist | 327 N 17th Ave, Suite 7, Wausau, WI 54401-4225 | 2006-06-20 |
| 1528004553 | Sport & Spine Clinic Lp | Clinic/Center | 1021 Western Ave, Suite B, Mosinee, WI 54455-1529 | 2006-06-20 |
| 1164894812 | Sport & Spine Clinic Lp | Clinic/Center | 503 S Cherry Ave, Suite 2, Marshfield, WI 54449-4276 | 2015-10-21 |
| 1164821591 | Sport & Spine Clinic Lp | Durable Medical Equipment & Medical Supplies | 8554 Hwy 51 N, Minocqua, WI 54548-9312 | 2014-08-21 |
| 1043252695 | Sport & Spine Clinic Lp | Clinic/Center | 10524 George Ave, Suite 2, Auburndale, WI 54412-9677 | 2006-06-11 |
| Street Address |
226831 RIB MOUNTAIN DR |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306000534 | Sport & Spine Clinic L.p. | Clinic/Center | 226831 Rib Mountain Dr, Wausau, WI 54401-3350 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053974964 | Pain Centers of Wisconsin - Wausau, LLC | Durable Medical Equipment & Medical Supplies | 400 Westwood Dr Ste 200, Wausau, WI 54401-7801 | 2019-04-16 |
| 1861954497 | Scott Johnson | Durable Medical Equipment & Medical Supplies | 1014 Everest Blvd, Wausau, WI 54403-5057 | 2019-04-02 |
| 1083181960 | Roundys Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 205 Central Bridge St, Wausau, WI 54401-2947 | 2018-10-29 |
| 1407246101 | Sleep Apnea Care and Wellness LLC | Durable Medical Equipment & Medical Supplies | 305 S 18th Ave, Ste 300, Wausau, WI 54401-4208 | 2015-02-02 |
| 1831537869 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 102 Central Bridge St, Wausau, WI 54401-2944 | 2013-06-12 |
| 1376827378 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 4405 Stewart Ave, Ste B, Wausau, WI 54401-3866 | 2011-10-10 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| 1396074936 | Aspirus Vna Home Health Inc | Durable Medical Equipment & Medical Supplies | 5450 Stewart Ave, Wausau, WI 54401-3876 | 2009-12-10 |
| 1225267834 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 2600 Stewart Center, Wausau, WI 54401-1403 | 2009-07-06 |
| 1730249665 | Reliant Rehab Service & Supply, LLC | Durable Medical Equipment & Medical Supplies | 6705a Stewart Ave, Wausau, WI 54401-9318 | 2006-12-11 |
| Find all providers in WAUSAU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.