ORTHOPEDIC & SPINE THERAPY OF LAKEWOOD, SC (NPI# 1588975908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588975908 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC & SPINE THERAPY OF LAKEWOOD, SC |
| Practice Address |
17187 Twin Pines Rd Lakewood WI 54138-9300 |
| Mailing Address |
4000 N Providence Ave Appleton WI 54913-8018 |
| Practice Telephone | 7152761767 |
| Practice Fax Number | 7152761785 |
| Mailing Telephone | 9202572000 |
| Mailing Fax Number | 9202572004 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | PAUL STEVEN BARNETT (OWNER AND PRESIDENT) |
| Authorized Official Telephone | 9202572000 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023338506 | Orthopedic & Spine Therapy of Lakewood, Sc | Physical Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-07 |
| Street Address |
17187 TWIN PINES RD |
| City | LAKEWOOD |
| State | WI |
| Zip Code | 54138-9300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023338506 | Orthopedic & Spine Therapy of Lakewood, Sc | Physical Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-07 |
| 1790162899 | Assure Family Practice LLC | Clinic/Center | 17187 Twin Pines Rd, Suite A, Lakewood, WI 54138-9300 | 2015-04-28 |
| 1265841944 | Sara Piontek | Massage Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2014-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174830244 | Adam Robert Habeck | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2010-09-09 |
| 1386708378 | Stacey Lee Bisenius | Dental Hygienist | 15397 State Hwy 32, Lakewood, WI 54138 | 2006-12-21 |
| 1801135371 | Habeck Chiropractic Center, LLC | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2013-02-04 |
| 1407961402 | Leslee A Granke | Registered Nurse | 15397 State Highway 32, Lakewood, WI 54138 | 2006-08-20 |
| 1750376968 | Blake J Edinger | Dentist | 15397 State Highway 32, Lakewood, WI 54138 | 2005-09-14 |
| 1235458894 | Lakewood Assisted Living, LLC | Assisted Living Facility | 17185 Flynn Ln, Lakewood, WI 54138-9593 | 2010-05-21 |
| 1740272848 | Jason William Nobles | Chiropractor | 15481 Commercial Rd, Ste G, Lakewood, WI 54138-9677 | 2005-08-16 |
| 1790284438 | Oconto Hospital & Medical Center Inc | Family Medicine | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2018-02-08 |
| 1114290707 | Nicolet Pharmacy, Inc. | Pharmacy | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2012-02-14 |
| 1326221284 | Michael W Wixom | Pharmacist | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2007-12-13 |
| Find all providers in zip 54138 | ||||
| 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 |
|---|---|---|---|---|
| 1073136644 | Better Sleep Designs LLC | Durable Medical Equipment & Medical Supplies | 3333 S Wadsworth Blvd Unit 321, Lakewood, CO 80227-5142 | 2020-05-18 |
| 1235764473 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 15110 Union Ave Sw, Lakewood, WA 98498-2093 | 2020-03-09 |
| 1235769928 | Paradise Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 10600 W Alameda Ave Ste 108a, Lakewood, CO 80226-2601 | 2020-01-22 |
| 1518513464 | Sdl Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1924 Wadsworth Blvd, Lakewood, CO 80214-5228 | 2019-08-16 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1457814816 | Dme Northwest LLC | Durable Medical Equipment & Medical Supplies | 7609 Steilacoom Blvd Sw Ste 700, Lakewood, WA 98498-6102 | 2019-04-11 |
| 1013471531 | Mobility Medical | Durable Medical Equipment & Medical Supplies | 575 Prospect St Unit 251, Lakewood, NJ 08701-5040 | 2019-01-29 |
| 1063992766 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9400 Gravelly Lake Dr Sw, Lakewood, WA 98499-1512 | 2018-08-21 |
| 1386141034 | National Medical Supplies | Durable Medical Equipment & Medical Supplies | 695 Cross Street, Suite 278, Lakewood, NJ 08701 | 2018-04-10 |
| 1871016246 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7665 W Jewell Ave, Lakewood, CO 80232-6803 | 2017-07-18 |
| Find all providers in LAKEWOOD | ||||
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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.