STATE OF WISCONSIN (NPI# 1225362403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225362403 |
| Entity Type | Organization |
| Organization Name | STATE OF WISCONSIN |
| Other Organization Name | REHAB TECHNOLOGY LABORATORY |
| Practice Address |
317 Knutson Dr Madison WI 53704-1133 |
| Practice Telephone | 6083019337 |
| Mailing Telephone | 6083019337 |
| Mailing Fax Number | 6083019388 |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2015-08-21 |
| Authorized Official Name | CATHERINE MURRAY (DIRECTOR) |
| Authorized Official Telephone | 6083019229 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL WISCONSIN CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1265519771 | 05 |
| Other Name | Type Code |
|---|---|
| Rehab Technology Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558615815 | State of Wisconsin | Skilled Nursing Facility | 2175 E Park Ave, Chippewa Falls, WI 54729-3511 | 2012-11-07 |
| 1225152861 | State of Wisconsin | Skilled Nursing Facility | 21425g Spring St, Union Grove, WI 53182-9707 | 2007-03-19 |
| 1235225616 | State of Wisconsin | Intermediate Care Facility, Mentally Retarded | 2820 East Park Avenue, Chippewa Falls, WI 54729-0340 | 2006-10-05 |
| 1366439986 | State of Wisconsin | Skilled Nursing Facility | N2665 County Road Qq, King, WI 54946 | 2005-09-29 |
| 1336324946 | State of Wisconsin | Intermediate Care Facility, Mentally Retarded | 317 Knutson Dr, Madison, WI 53704-1133 | 2008-01-02 |
| 1588703078 | State of Wisconsin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 317 Knutson Dr, Madison, WI 53704-1133 | 2007-02-05 |
| 1386705655 | State of Wisconsin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-12-12 |
| 1164516506 | State of Wisconsin | Psychiatric Hospital | 1300 South Drive, Winnebago, WI 54985-0009 | 2006-10-02 |
| 1437253648 | State of Wisconsin | General Acute Care Hospital | 301 Troy Dr, Madison, WI 53704-1521 | 2006-09-08 |
| 1043326747 | State of Wisconsin | Intermediate Care Facility, Mentally Retarded | 21425 Spring St, Union Grove, WI 53182-9707 | 2006-08-22 |
| Street Address |
317 KNUTSON DR |
| City | MADISON |
| State | WI |
| Zip Code | 53704-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174782 | Cari A Eggert | Physical Medicine & Rehabilitation | 317 Knutson Dr, Central Wisconsin Center, Madison, WI 53704-1133 | 2005-06-16 |
| 1588223424 | Alexandra Williams | Pharmacist | 317 Knutson Dr, Madison, WI 53704-1133 | 2019-06-12 |
| 1154835411 | Ashley Marie Alagna | Physical Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-11-24 |
| 1891208534 | Sarah Wilkin | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-11-15 |
| 1396256038 | Abigail Marie Quamme | Physical Therapy Assistant | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-10-21 |
| 1174043392 | Kris A Moeller | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2017-06-20 |
| 1952783706 | Theresa Murray | Physical Therapist | 317 Knutson Dr, Central Wisconsin Center, Pt/ot Rehab Department, Madison, WI 53704-1133 | 2015-06-28 |
| 1770964264 | Tegan Corrigan | Psychologist | 317 Knutson Dr, Madison, WI 53704-1133 | 2015-06-10 |
| 1689071599 | Clare Weege | Pharmacist | 317 Knutson Dr, Madison, WI 53704-1133 | 2014-11-21 |
| 1376974428 | Chelsea Cox | Physical Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2013-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639559727 | Adams Dental LLC | Durable Medical Equipment & Medical Supplies | 1 Kings Rd, Madison, NJ 07940-2016 | 2015-06-03 |
| 1023366739 | Xcalibur | Durable Medical Equipment & Medical Supplies | 1071 Hanover Dr, Madison, GA 30650 | 2012-08-28 |
| 1912207754 | Mobility Scooters of Madison LLC | Durable Medical Equipment & Medical Supplies | 3411 Miller St, Madison, WI 53704-2527 | 2010-10-27 |
| 1730242199 | Rice Home Medical, LLC | Durable Medical Equipment & Medical Supplies | 105 6th Ave, Madison, MN 56256-1300 | 2006-12-18 |
| 1013980945 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 726 Walsh Rd, Madison, WI 53714-1370 | 2006-02-10 |
| 1689069023 | Laura Ann Miller | Durable Medical Equipment & Medical Supplies | 141 Durham Rd, Suite 20, Madison, CT 06443-2676 | 2015-04-02 |
| 1952688202 | Meriter Home Health Dme LLC | Durable Medical Equipment & Medical Supplies | 2180 W Beltline Hwy, Madison, WI 53713-2340 | 2011-11-14 |
| 1568567469 | Krieck Enterprises LLC | Durable Medical Equipment & Medical Supplies | 125 Park Ave, Madison, NJ 07940-1122 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402401 | Retinal Recovery LLC | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr, Oak Creek, WI 53154-4128 | 2020-06-18 |
| 1811512437 | Stuart Kuntzelman | Durable Medical Equipment & Medical Supplies | W2678 Town Center Rd, Juda, WI 53550-9565 | 2020-06-09 |
| 1487289716 | Hale Healthcare Products & Services LLC | Durable Medical Equipment & Medical Supplies | 2441 W Monroe St, Milwaukee, WI 53206-1063 | 2020-03-06 |
| 1801429121 | Advent Dme LLC | Durable Medical Equipment & Medical Supplies | 8500 75th St Ste 101, Kenosha, WI 53142-8213 | 2020-02-14 |
| 1619519923 | Baby Express Wellness Center | Durable Medical Equipment & Medical Supplies | 2913 Durand Ave, Racine, WI 53403-3969 | 2019-10-09 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1164986717 | Rxlink Medical | Durable Medical Equipment & Medical Supplies | N922 Tower View Dr Ste 202, Greenville, WI 54942 | 2019-01-29 |
| 1225592199 | Lisa R Wenger | Durable Medical Equipment & Medical Supplies | W244n4850 Swan Rd, Pewaukee, WI 53072-1402 | 2019-01-24 |
| 1164992194 | Konrad Joeseph Haase | Durable Medical Equipment & Medical Supplies | 3153 Rudolph Dr, Racine, WI 53406-1548 | 2018-12-03 |
| 1720555196 | Facedown Rental, LLC | Durable Medical Equipment & Medical Supplies | W188n11770 Maple Rd # Door4, Germantown, WI 53022-2410 | 2018-10-24 |
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Please comment or provide details below to improve the information on STATE OF WISCONSIN.
| 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.