Robert Paul Neustifter, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1162-019 Issued in WI

Practice address

215 N Webster Ave
Green Bay, WI 54301-4813

Phone

(920) 431-5588

Fax

(920) 445-7090

NPI assigned

May 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1255507604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543050638",
            "telephone_number": "920-246-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014813",
            "telephone_number": "920-431-5588",
            "fax_number": "920-445-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSTIFTER",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1162-019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36106900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neuropsychology of Green Bay LTD
• Neurotech, LLC
• Neurotech, LLC
• Linda M Neuser, CRNA
• Maryjo Neustifter, DO
• Brittany Neveau, APRN
• Elizabeth Grace Neveau, DPT
• Kevin Neveau, DO
• Mallory Neville
• New Depth Counseling & Wellness Services, LLC

• Physical Therapy Assistant in Green Bay, WI
• Providers in Green Bay, 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 May 6, 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.