Theda Care Peabody Manor
Theda Care Peabody Manor is a healthcare organization registered as Skilled Nursing Facility in Appleton, WI, holding Type 2 (organization) NPI 1265589303 since 2007. The authorized official on file is Toni Radish, Physical Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265589303 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Theda Care Peabody Manor |
| Practice address | 2600 S HERITAGE WOODS DR, Appleton, WI, 54915 |
| Phone | 9202257764 |
| Enumeration date | 2007-01-04 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Toni Radish |
|---|---|
| Title | Physical Therapist |
| Phone | 9202257764 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 9771-24 | WI |
Copy-ready billing details
Provider: Theda Care Peabody Manor NPI: 1265589303 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 2600 S HERITAGE WOODS DR, Appleton, WI, 54915
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699767301 | Paul Nelsen | Individual | Family Medicine Physician | Appleton, WI |
| 1588658595 | Ronald Schreiber | Individual | Geriatric Medicine (Internal Medicine) Physician | Appleton, WI |
| 1326079757 | Thedacare, Incorporated | Organization | Skilled Nursing Facility | Appleton, WI |
| 1780618728 | Michelle Lopez | Individual | Family Medicine Physician | Appleton, WI |
| 1710062716 | Daniel Lavoie | Individual | Family Medicine Physician | Appleton, WI |
| 1003973066 | Kara Fitzgerald | Individual | Occupational Therapist | Appleton, WI |
| 1659438067 | Julia Harnitz | Individual | Physical Therapist | Appleton, WI |
| 1023175551 | Heather Siebers | Individual | Skilled Nursing Facility | Appleton, WI |
Verify this record
Cross-check NPI 1265589303 against the authoritative CMS record: view Theda Care Peabody Manor on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Theda Care Peabody Manor?
What is the NPI number for Theda Care Peabody Manor?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.