Spine and Sport Physical Therapy of Waupaca LLC
NPI 1770768046 · Physical Therapist · Waupaca, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spine and Sport Physical Therapy of Waupaca LLC is a Physical Therapist organization in Waupaca, WI (NPI 1770768046).
Provider details
- NPI number
- 1770768046
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michael Koch, Member(920) 538-3670
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2008-01-07
- Last updated
- 2008-03-16
Frequently asked questions
- What is Spine and Sport Physical Therapy of Waupaca LLC's NPI number?
- Spine and Sport Physical Therapy of Waupaca LLC's National Provider Identifier (NPI) is 1770768046, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spine and Sport Physical Therapy of Waupaca LLC?
- Spine and Sport Physical Therapy of Waupaca LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Spine and Sport Physical Therapy of Waupaca LLC located?
- Spine and Sport Physical Therapy of Waupaca LLC's practice location on file with NPPES is 1439 Churchill St Ste 102, Waupaca, WI 54981-2089.
- What is Spine and Sport Physical Therapy of Waupaca LLC's phone number?
- The practice phone number listed in the NPPES registry for Spine and Sport Physical Therapy of Waupaca LLC is (920) 538-3670.
- Does Spine and Sport Physical Therapy of Waupaca LLC accept Medicare?
- Spine and Sport Physical Therapy of Waupaca LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spine and Sport Physical Therapy of Waupaca LLC?
- The authorized official listed on Spine and Sport Physical Therapy of Waupaca LLC's NPPES record is Michael Koch, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spine and Sport Physical Therapy of Waupaca LLC's NPI active?
- Yes — Spine and Sport Physical Therapy of Waupaca LLC's NPI (1770768046) is active in the NPPES registry as of the last update on 2008-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.