ORTHOPEDIC & SPINE THERAPY OF MENASHA, SC (NPI# 1861587032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861587032 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC & SPINE THERAPY OF MENASHA, SC |
| Practice Address |
4000 N Providence Ave Appleton WI 54913-8018 |
| Practice Telephone | 9209680814 |
| Practice Fax Number | 9207346159 |
| Mailing Telephone | 9202572000 |
| Mailing Fax Number | 9202572004 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-08-05 |
| Authorized Official Name | PAUL STEVEN BARNETT (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9202572000 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41745400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164510061 | Orthopedic & Spine Therapy of Menasha, Sc | Durable Medical Equipment & Medical Supplies | 730 Midway Road, Menasha, WI 54952-1014 | 2006-10-10 |
| 1871665364 | Orthopedic & Spine Therapy of Menasha, Sc | Durable Medical Equipment & Medical Supplies | 1901 Crooks Ave, Suite B, Kaukauna, WI 54130-3200 | 2006-11-14 |
| Street Address |
4000 N PROVIDENCE AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932136322 | Orthopedic & Spine Therapy of Menasha Sc | Physical Therapist | 4000 N Providence Ave, Appleton, WI 54913-8018 | 2006-06-28 |
| 1811507197 | Malory Zoglman | Physical Therapist | 4000 N Providence Ave, Appleton, WI 54913-8018 | 2020-08-03 |
| 1598302929 | Cinda Elizabeth Kult | Physical Therapist | 4000 N Providence Ave, Appleton, WI 54913-8018 | 2019-12-04 |
| 1790209112 | Sarah Marie Dahl | Physical Therapist | 4000 N Providence Ave, Appleton, WI 54913-8018 | 2017-07-27 |
| 1780122937 | Kortney Nyman | Massage Therapist | 4000 N Providence Ave, Appleton, WI 54913-8018 | 2017-02-08 |
| 1427504075 | Victoria Popp | Physical Therapist | 4000 N Providence Ave, Appleton, WI 54913-0818 | 2016-09-01 |
| 1003283516 | Orthopedic & Spine Therapy of Menasha | Physical Therapist | 4000 N Providence Ave, Appleton, WI 54913-8018 | 2015-09-01 |
| 1588073928 | Samantha Gries | Physical Therapist | 4000 N Providence Ave, Appleton, WI 54913-8018 | 2014-08-11 |
| 1225440118 | Jennifer Torborg | Physical Therapist | 4000 N Providence Ave, Appleton, WI 54913-8018 | 2014-05-27 |
| 1477800423 | Alex Minten | Physical Therapist | 4000 N Providence Ave, Appleton, WI 54913-8018 | 2012-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| 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 |
|---|---|---|---|---|
| 1972137842 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4635 W College Ave Ste 114, Appleton, WI 54914-8507 | 2020-02-28 |
| 1518442771 | Bay Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1717 E Calumet St Unit C, Appleton, WI 54915-4079 | 2018-10-03 |
| 1033693692 | Latoyia Hurst | Durable Medical Equipment & Medical Supplies | 337 W Wisconsin Ave Frnt, Appleton, WI 54911-4386 | 2018-09-19 |
| 1477930592 | Garth Point Group, Inc,. | Durable Medical Equipment & Medical Supplies | 2701 N Alexander St, Appleton, WI 54911-2312 | 2015-04-27 |
| 1376899120 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4301 W Wisconsin Ave Ste 42, Appleton, WI 54913-6524 | 2012-07-31 |
| 1164656898 | Verlo Mattress Factory Stores Appleton and Oshkosh | Durable Medical Equipment & Medical Supplies | 4884 W Lawrence St, Appleton, WI 54914-9200 | 2009-05-09 |
| 1629219217 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1760 Prospect Ct, Ste 112, Appleton, WI 54914-9035 | 2009-03-12 |
| 1972769453 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1485 Oneida St, Appleton, WI 54915-7100 | 2008-08-04 |
| 1588846976 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 2101 E Evergreen Dr, Appleton, WI 54913-9001 | 2007-11-28 |
| 1770612426 | All About You Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1045 N Lynndale Dr, Ste 1b, Appleton, WI 54914-3048 | 2007-03-05 |
| Find all providers in APPLETON | ||||
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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.