Amanda Erdman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13446-24 Issued in WI

Practice address

2106 Schofield Ave Ste 5
Weston, WI 54476-2412

Phone

(715) 393-0479

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amanda Blume Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1124477831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225000 HUMMINGBIRD RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012948",
            "telephone_number": "715-359-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 SCHOFIELD AVE STE 5",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544762412",
            "telephone_number": "715-393-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225000 Hummingbird Rd",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544012948",
            "country_code": "US",
            "telephone_number": "715-359-6442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 N 17th Ave",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014285",
            "country_code": "US",
            "telephone_number": "715-845-2942",
            "fax_number": "715-842-3416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERDMAN",
        "first_name": "AMANDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13446-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BLUME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Weston, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.