MEDICARE: SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1073775730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	944 WATER ST
Second Line	:
City	:	SAUK CITY
State	:	WI
Zip	:	53583-1535
Country	:	US
Telephone Number	:	608-643-3495
Fax Number	:	608-643-6719

Provider Business Practice Location Address
First Line	:	944 WATER ST
Second Line	:
City	:	SAUK CITY
State	:	WI
Zip	:	53583-1535
Country	:	US
Telephone Number	:	608-643-3495
Fax Number	:	608-643-6719

Authorized Official
Title or Position	:	VP, AUTHORIZED OFFICIAL
Name	:	RICHARD BINSTEIN
Credential	:	JD
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	06/25/2008
Last Update Date	:	01/27/2012

Similar Medicare Providers

1689688533 — MRS. CHANTEL L. HASMAN MPT
Practice Location Address:

944 WATER ST
SAUK CITY, WI
53583-1535

Practice Phone: 608-643-3495
Practice Fax: 608-643-6719

1669718987 — MEGAN WYNELL DETTLOFF CA
Practice Location Address:

942 WATER ST
SAUK CITY, WI
53583-1535

Practice Phone: 608-571-2942
Practice Fax:

1700815008 — NORTH BENTON DENTAL CARE
Practice Location Address:

400 N BENTON DR
SAUK RAPIDS, MN
56379-1535

Practice Phone: 320-253-4206
Practice Fax:

1417153818 — DR. DAVID A RUSSELL DDS
Practice Location Address:

400 N BENTON DR
SAUK RAPIDS, MN
56379-1535

Practice Phone: 320-253-4206
Practice Fax: 320-202-7803

1487435665 — ROBERT SYPNIEWSKI
Practice Location Address:

4358 N TOPPING AVE
KANSAS CITY, MO
64117-1535

Practice Phone: 913-283-4345
Practice Fax:

1477512234 — MR. JOHN P KELLY MD
Practice Location Address:

1535 MEDICAL PKWY , STE B
CARSON CITY, NV
89703-4654

Practice Phone: 775-445-7960
Practice Fax: 775-883-3395

Directions to “SPORT & SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.