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Enrollment ID O20031204001068 resolves to a single NPI record. Open the full profile for complete detail.

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OA
NPI · 1831260611 · Active
Orthopedic And Spine Therapy Of Menasha Sc
Physical Therapist · Kaukauna, Wisconsin
Active
NPI
1831260611
Enrollment ID
O20031204001068
Taxonomy
225100000X
Type
Part B Supplier - Physical/Occupational Therapy Group In Private Practice

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 2133143004WI· Issued by AMERICHOICE
  • 102382902WI· Issued by US DEPARTMENT OF LABOR
  • 128871WI· Issued by HEALTH PARTNERS
  • 5335410005WI· Issued by MEDICARE DME

Medicaid

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.