Organization
ORTHOPEDIC & SPINE THERAPY OF NEW LONDON, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEVEN BARNETT PT (OWNER-PRESIDENT)
(920) 257-2000
Entity
Organization
Contact information
Practice address
315 BURTON RD STE 107, NEW LONDON, WI 54961-1176
(920) 982-3670
(920) 982-4273
Mailing address
4000 N. PROVIDENCE AVENUE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128857
HEALTH PARTNERS
WI
01
—
2133174001
AMERICHOICE
WI
05
—
40419300
—
WI
05
—
41745700
—
WI
01
—
611271700
US DEPARTMENT OF LABOR
WI
01
—
CH3635
RAILROAD MEDICARE
WI
Enumeration date
06/29/2006
Last updated
05/16/2025
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