Back In Action Rehabilitation is a
Occupational Therapist based in New Holstein, Wisconsin. Back In Action Rehabilitation is licensed to practice in * (Not Available) (license number ) and their current practice location is
1401 Milwaukee Dr, New Holstein, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 898-4440.
NPI number for Back In Action Rehabilitation is 1396946729 and their current mailing address is 103 S Pioneer Rd # 100, Fond Du Lac, Wisconsin. Back In Action Rehabilitation
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1396946729.
Healthcare Provider's Profile
| Full Name | Back In Action Rehabilitation |
|---|
| Type | Facility |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 1401 Milwaukee Dr, New Holstein, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396946729
- Provider Enumeration Date: 05/31/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Back In Action Rehabilitation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396946729 | NPI | - | NPPES |
| 40416300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Back In Action Rehabilitation is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Back In Action Rehabilitation 103 S Pioneer Rd # 100, Fond Du Lac, WI 54935-3871 Ph: (920) 922-7776 | Back In Action Rehabilitation 1401 Milwaukee Dr, New Holstein, WI 53061 Ph: (920) 898-4440 |
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