Sarah Ann Dettwiler, LAT, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1275-019 Issued in WI

Practice address

1400 Washington St
Suite 3
Two Rivers, WI 54241-3043

Phone

(920) 553-8993

Fax

(920) 553-8990

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Two Rivers, WI
  • NPI 1447398425
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1215095476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WASHINGTON ST",
            "address_2": "SUITE 3",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413043",
            "telephone_number": "920-553-8993",
            "fax_number": "920-553-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WASHINGTON ST",
            "address_2": "SUITE 3",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413043",
            "telephone_number": "920-553-8993",
            "fax_number": "920-553-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETTWILER",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LAT, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1275-019",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "605-039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Dedering, COTA
• Brigette Dei, PHARM.D.
• Amanda Denor, PTA
• Ashley Derenne Hansen, LPC
• Erica L Dessart, NP
• Natalia A Devore
• Alfredo Diaz, MD
• Lanan Rae Dixon, P.T.
• Joseph M Donati, PT
• Paula Dow, R.N.

• Physical Therapy Assistant in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.