Amy Beyer, LAT, WCMT – Athletic Trainer

Key facts

NPI: 1013049402
Entity type: Individual (NPI type 1)
Primary specialty: Athletic Trainer 2255A2300X
License: 305-039 (WI)
Practice address: 21140 W Capitol Dr
Suite 4
Pewaukee, WI 53072-2953
Phone: (262) 754-1650
Fax: (262) 754-0877
NPI assigned: Mar 12, 2007
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Stay Strong Therapies LLC Occupational Medicine Clinic/Center · Brookfield, WI · NPI 1548569692

NPD (past)
Tri-Motion Rehab LLC Physical Therapy Clinic/Center · Delafield, WI · NPI 1487871430

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
305-039	WI	MD	Athletic Trainer

Practice roles

Organization	Specialty	Status	New patients
Tri-Motion Rehab LLC		Past	Accepting new patients
Stay Strong Therapies LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Athletic Trainer	2255A2300X	305-039	WI	Yes

Addresses

Primary practice location

21140 W Capitol Dr
Suite 4
Pewaukee, WI 53072-2953

Mailing address

21140 W Capitol Dr
Suite 4
Pewaukee, WI 53072-2953
Phone (262) 754-1650

Other providers in Pewaukee, WI

All providers in Pewaukee, WI · Athletic Trainer in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.