Countryside Therapy Service LLC
NPI 1336391127 · Physical Medicine & Rehabilitation Physician · Waldo, WI
Countryside Therapy Service LLC is a Physical Medicine & Rehabilitation Physician organization in Waldo, WI (NPI 1336391127).
Provider details
- NPI number
- 1336391127
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John O'Dell, Owner(920) 564-6107
- License
- 5421-024 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-10-13
- Last updated
- 2008-10-13
Frequently asked questions
- What is Countryside Therapy Service LLC's NPI number?
- Countryside Therapy Service LLC's National Provider Identifier (NPI) is 1336391127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Therapy Service LLC?
- Countryside Therapy Service LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Countryside Therapy Service LLC located?
- Countryside Therapy Service LLC's practice location on file with NPPES is W4523 County Road Iw, Waldo, WI 53093-1639.
- What is Countryside Therapy Service LLC's phone number?
- The practice phone number listed in the NPPES registry for Countryside Therapy Service LLC is (920) 564-6107.
- Who is the authorized official for Countryside Therapy Service LLC?
- The authorized official listed on Countryside Therapy Service LLC's NPPES record is John O'Dell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Therapy Service LLC's NPI active?
- Yes — Countryside Therapy Service LLC's NPI (1336391127) is active in the NPPES registry as of the last update on 2008-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.