Individual provider Active NPI

Joanne Beitlich, PT

  • Physical Therapist
  • Onalaska, WI
National Provider Identifier
1174325690
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16235-24 Issued in WI
Practice address
3770 Emerald Dr E
Onalaska, WI 54650-4303
Phone
(608) 615-4700
NPI assigned
Mar 25, 2025
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16235-24 WI Primary

Addresses

Primary practice location

3770 Emerald Dr E
Onalaska, WI 54650-4303

Mailing address

PO Box 133
Stoddard, WI 54658-0133
Phone (602) 992-1648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250603001233 WI Practitioner - Physical Therapist in Private Practice 9133638075 Reassigns benefits to 1 organization
I20250610001462 MN Practitioner - Physical Therapist in Private Practice 9133638075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, shared by 24 NPIs, 399 clinicians

Practice addresses (Care Compare)

1384 County
25 Apt 217
La Crescent, MN 55947-2608
Phone (800) 444-6845

861 Critter CT
Onalaska, WI 54650-8689
Phone (800) 444-6845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16235-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Apr 23, 2025 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Apr 23, 2025 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Apr 23, 2025 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

3770 Emerald Dr E
Onalaska, WI 54650
Phone (608) 615-4700

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1174325690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "STODDARD",
            "state": "WI",
            "postal_code": "546580133",
            "telephone_number": "602-992-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 EMERALD DR E",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546504303",
            "telephone_number": "608-615-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITLICH",
        "first_name": "JOANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16235-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.