Sport & Spine Clinic Of Jefferson is a
Clinic/center - Physical Therapy based in Jefferson, Wisconsin. Sport & Spine Clinic Of Jefferson is licensed to practice in * (Not Available) (license number ) and their current practice location is
222 S Wisconsin Drive, Suite 3, Jefferson, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 699-4201.
NPI number for Sport & Spine Clinic Of Jefferson is 1982780813 and their current mailing address is 1300 W Sam Houston Pkwy S, Suite 300, Houston, Texas. Sport & Spine Clinic Of Jefferson
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1982780813.
Healthcare Provider's Profile
| Full Name | Sport & Spine Clinic Of Jefferson |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 222 S Wisconsin Drive, Jefferson, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982780813
- Provider Enumeration Date: 10/31/2006
- Last Update Date: 11/28/2012
Medical Identifiers
Medical identifiers for Sport & Spine Clinic Of Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982780813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sport & Spine Clinic Of Jefferson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sport & Spine Clinic Of Jefferson
1300 W Sam Houston Pkwy S, Suite 300,
Houston, TX 77042-2447
Ph: (713) 297-7000 | Sport & Spine Clinic Of Jefferson
222 S Wisconsin Drive, Suite 3,
Jefferson, WI 53549
Ph: (920) 699-4201 |
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