{"npi":"1679548846","type":"NPI-2","status":"active","name":{"display":"Actra Rehabilitation Associates INC","other":[],"organization_name":"ACTRA REHABILITATION ASSOCIATES INC","authorised_official":"John Duggan"},"specialty":{"primary_taxonomy":"335E00000X","primary_taxonomy_description":"Prosthetic/Orthotic Supplier","slug":"prosthetic-orthotic-supplier","schema_org_specialty":null,"all":[{"code":"335E00000X","description":"Prosthetic/Orthotic Supplier","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"525 E DIVISION ST","city":"FOND DU LAC","state":"WI","postal_code":"549353747","country_code":"US","street_2":"SUITE 104","phone":"9209236676","fax":"9209239020"},{"purpose":"MAILING","street_1":"4714 GETTYSBURG RD","city":"MECHANICSBURG","state":"PA","postal_code":"170554325","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"41790300","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930025554","type_code":"30-56","type_desc":"DME SUPPLIER - PROSTHETIC PERSONNEL","state":"WI","pac_id":"1153448337"}]},"enumeration_date":"2006-02-21","last_updated":"2026-05-19","_meta":{"source":"NPPES","snapshot_date":"2026-05-19","doc_url":"https://findmynpi.com/api"}}