Mary Alma Reineke, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

708-019 Issued in WI

Practice address

1405 Truax Blvd
Eau Claire, WI 54703-1474

Phone

(715) 552-1030

NPI assigned

Feb 8, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1245371996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13688 191ST ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547296162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 TRUAX BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547031474",
            "telephone_number": "715-552-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINEKE",
        "first_name": "MARY",
        "middle_name": "ALMA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "708-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karley Rehrig
• Courtney Mills Reich, DDS
• Dale Lee Reid, MD
• Jennifer Rae Reimer, NP
• Karen Reimers, M.D.
• Crystal Reines, LPC-IT
• Mia Belle Reisdorf, MSW, LCSW
• Tara Elizabeth Reitan
• Sarah P. Reiter, APNP
• Taylor Reiter, MS, LPC-IT

• Physical Therapy Assistant in Eau Claire, WI
• Providers in Eau Claire, 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 Mar 17, 2008; 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.