SPORT & SPINE CLINIC OF NEKOOSA LP (NPI# 1245336155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245336155 |
| Entity Type | Organization |
| Organization Name | SPORT & SPINE CLINIC OF NEKOOSA LP |
| Practice Address |
416 Market St Nekoosa WI 54457-1126 |
| Mailing Address |
1300 W Sam Houston Pkwy S Suite 300 Houston TX 77042-2447 |
| Practice Telephone | 7158863150 |
| Practice Fax Number | 7158863220 |
| Mailing Telephone | 7132977000 |
| Mailing Fax Number | 7132977090 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JANNA P. KING (VP,AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7132977000 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
416 MARKET ST |
| City | NEKOOSA |
| State | WI |
| Zip Code | 54457-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639489081 | Cheryl R. Jacoby | Specialist | 610 Wilhorn Rd. #30, Nekoosa, WI 54457 | 2010-10-19 |
| 1154630390 | Ho Chunk Nation | Clinic/Center | 916 Chak-hah-chee Lane, Nekoosa, WI 54457 | 2010-10-06 |
| 1831426220 | Pamela Ann Reimer | Registered Nurse | 916 Chak-hah-chee Ln., Nekoosa, WI 54457 | 2009-11-06 |
| 1609013101 | Sherry Lee Grove | Registered Nurse | 1406 Rapids Trail, Nakoosa, WI 54457 | 2009-01-21 |
| 1851541403 | Riverview Community Dental Clinic | Dentist | 1160 Rome Center Dr, Nekoosa, WI 54457 | 2008-09-19 |
| 1477506608 | City of Nekoosa Wisconsin | Ambulance | 951 Market St, Nekoosa, WI 54457-1025 | 2006-05-18 |
| 1841272911 | Dennis Alan Bulgrin | Chiropractor | 315 North St, Nekoosa, WI 54457-1027 | 2005-11-15 |
| 1225589518 | Elizabeth Brost | Registered Nurse | 601 N Section St, Nekoosa, WI 54457-1045 | 2016-10-20 |
| 1689901084 | Phillips Reedsburg Pharmacy Inc | Pharmacy | 232 Market St, Nekoosa, WI 54457-1122 | 2009-11-06 |
| 1740214964 | Aurora Pharmacy Inc | Pharmacy | 232 Market St, Nekoosa, WI 54457-1122 | 2006-07-11 |
| Find all providers in zip 54457 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313074 | Byond Physical Therapy, LLC | Clinic/Center | 11320 W Forest Home Ave, Franklin, WI 53132-1401 | 2020-10-13 |
| 1568078780 | Streamline Physical Therapy | Clinic/Center | 5806 Crabapple Ln, Madison, WI 53711-3437 | 2020-09-22 |
| 1790311199 | Exos Wi LLC | Clinic/Center | 7044 S Ballpark Dr Ste 300, Franklin, WI 53132-6910 | 2020-03-17 |
| 1831735885 | Garvey Physical Therapy & Wellness LLC | Clinic/Center | 417 Maple Ct, Campbellsport, WI 53010-3531 | 2019-11-25 |
| 1821649088 | Impact Physical Therapy & Performance LLC | Clinic/Center | 1155 Clarity Dr, Verona, WI 53593-9318 | 2019-09-27 |
| 1427605146 | Peak Endurance | Clinic/Center | 15 N Butler St, Madison, WI 53703-4237 | 2019-08-19 |
| 1558917617 | Quad/med, LLC | Clinic/Center | N61 W23044 Harry's Way, Sussex, WI 53089 | 2019-08-14 |
| 1619521267 | Space To Be Well, LLC | Clinic/Center | 1091 Sutherland Ave, River Falls, WI 54022-7509 | 2019-07-31 |
| 1346894656 | Cornerstone Physical Therapy, LLC | Clinic/Center | 2829 County Highway I Ste 3, Chippewa Falls, WI 54729-2678 | 2019-07-25 |
| 1619437514 | Resilience Rx LLC | Clinic/Center | 4708 Graywood Ct Apt 3, Nashotah, WI 53058-9688 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
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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.