Sara Bashaw, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2391 Issued in WI

Practice address

199 Home Rd
Juneau, WI 53039

Phone

(920) 386-3400

NPI assigned

Aug 4, 2015

Last updated

Aug 4, 2015By the provider in NPPES

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1245616945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 HOME RD",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530391401",
            "telephone_number": "920-386-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 HOME RD",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "53039",
            "telephone_number": "920-386-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAW",
        "first_name": "SARA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Anderson
• Adelheid Christa Arvold, COTA
• Tracey L Atkinson, MS
• Rose Barton
• Michael G Baskfield, B.S.
• Beaver Dam Community Hospitals Inc ((Inactive) Marshfield Medical Center - Beaver Dam Juneau Center)
• Patricia Beier, CSAC
• Rebecca Bell
• Eunice Ann Berndt, RN

• Physical Therapy Assistant in Juneau, WI
• Providers in Juneau, 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 Aug 4, 2015; 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.