Active NPI
Amanda J Warren, PT
- Physical Therapist
- Twin Lakes, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9848-024
- Practice address
- 700 N Lake Ave
Twin Lakes, WI 53181-9436 - Phone
- (262) 877-2124
- NPI assigned
- Jun 13, 2007
- Last updated
- May 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9848-024 | WI | Primary |
Addresses
Primary practice location
700 N Lake Ave
Twin Lakes, WI 53181-9436
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
709 Spring Valley Rd
Burlington, WI 53105-7614
Phone (262) 971-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40371000 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awarren65689@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9848-024 | WI | MD | Physical Therapist |
| 9848 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Pharmacy, Inc | Past | Accepting new patients |
Locations
709 Spring Valley Rd
Burlington, WI 53105
Phone (262) 767-6020
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
700 N Lake Ave
Ste 102
Twin Lakes, WI 53181
Phone (262) 877-2124
Interoperability endpoints
- awarren65689@direct.myadvocateaurora.org
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1295939270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N LAKE AVE",
"city": "TWIN LAKES",
"state": "WI",
"postal_code": "531819436",
"telephone_number": "262-877-2124"
}
],
"practiceLocations": [
{
"address_1": "709 Spring Valley Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "WI",
"postal_code": "531057614",
"country_code": "US",
"telephone_number": "262-971-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARREN",
"first_name": "AMANDA",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9848-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40371000",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awarren65689@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "700 N Lake Ave",
"city": "Twin Lakes",
"state": "WI",
"country_code": "US",
"postal_code": "531819436",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "700 N Lake Ave",
"city": "Twin Lakes",
"state": "WI",
"country_code": "US",
"postal_code": "531819436",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Twin Lakes, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.